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Individual

MARTIN GARY WERTKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1034 N BROADWAY, YONKERS, NY 10701-1303
(914) 965-2026
(914) 965-1499
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
116387
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000014863
GHI HMO
NY
01
001814
CONNECTICARE THRU MFHA, IPA
NY
05
00369599
NY
01
0465157
CIGNA
NY
01
116387
1199 NATIONAL BENEFIT FUND
NY
01
116387-A85
HEALTH FIRST
NY
01
120727000113
FIDELIS CARE
NY
01
187TM1
EMPIRE BCBS
NY
01
201235200020
AFFINITY HEALTH PLAN
NY
01
2671201
GHI PPO
NY
01
4096851
AETNA
NY
01
701744
US FAMILY HEALTH PLAN
NY
01
DOC067154
VNS CHOICE
NY
01
P01084439
RAILROAD MEDICARE
NY
01
P4570623
OXFORD PLAN THRU UNITED HEALTHCARE
NY
01
PPO ID# 0085762
HIP
NY
01
PRIS# 2920539
HIP
NY
Enumeration date
08/01/2006
Last updated
12/27/2012
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