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Individual

DR. JOHN ALAN MARTINETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D. CCC

Contact information

Practice address
5225 NESCONSET HWY, SUITE 10, PORT JEFFERSON STATION, NY 11776-2053
(631) 331-1888
(631) 331-4724
Mailing address
5225 NESCONSET HWY, SUITE 10, PORT JEFFERSON STATION, NY 11776-2053
(631) 331-1888
(631) 331-4724

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000898
NY
235Z00000X
Speech-Language Pathologist
002232
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000898
HIP AUDIO ID#
NY
01
002232
HIP SPEECH ID#
NY
01
0096400
AETNA/US HEALTHCARE GROUP
NY
01
014538
AETNA/US HEALTHCARE
NY
01
0C4525
HEALTHNET
NY
01
114520
VYTRA AUDIO
NY
01
125886
UNITED HEALTHCARE
NM
01
2814
VYTRA SPEECH
NY
01
4210876
AETNA SPEECH ID#
NY
01
8457760
AETNA AUDIO
NY
01
865009
HIP MEDICAID
NY
01
CS145
OXFORD
NY
01
M04241
EMPIRE BC/BS
NY
Enumeration date
08/24/2005
Last updated
09/26/2012
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