Individual
DR. CARLOS EZEQUIEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
277 RIVERSIDE DR, BINGHAMTON, NY 13905-4060
(607) 651-5219
Mailing address
277 RIVERSIDE DR, BINGHAMTON, NY 13905-4060
(607) 797-4351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234979
NY
207R00000X
Internal Medicine Physician
MD455301
PA
207R00000X
Internal Medicine Physician
ME 94418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662875
—
NY
Enumeration date
08/10/2006
Last updated
05/13/2020
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