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Individual

MRS. CORINNE D MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, NP

Contact information

Practice address
1555 LONG POND RD, DEPT. OF OBSTETRICS AND GYNECOLOGY, ROCHESTER, NY 14626-4122
(585) 368-4007
(585) 368-4009
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F360478
NY
367A00000X
Advanced Practice Midwife
Primary
F001156
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02648433
NY
Enumeration date
10/19/2006
Last updated
11/19/2019
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