Individual
MRS. AIMEE ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 AVIATION RD, QUEENSBURY, NY 12804-8206
(808) 343-0863
Mailing address
623 NEW LOUDON RD, LATHAM, NY 12110-4031
(518) 782-1178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
270747
NY
Other
Enumeration date
07/11/2012
Last updated
07/01/2019
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