Individual
KATHRYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BRADHURST AVE STE 3050N, HAWTHORNE, NY 10532-2180
(914) 775-5437
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
313770
NY
2086S0120X
Pediatric Surgery Physician
MD455706
PA
Other
Enumeration date
10/12/2015
Last updated
06/27/2022
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