Organization
DAMIAN J. MARTINO MD PC
Active
Organization
DAMIAN J. MARTINO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAMIAN J. MARTINO M.D. (PRESIDENT)
(917) 485-1905
Entity
Organization
Contact information
Practice address
3272 STEINWAY ST, SUITE 503, ASTORIA, NY 11103-4182
(917) 485-1905
(917) 456-0437
Mailing address
2452 44TH ST, B3, ASTORIA, NY 11103-2060
(917) 485-1905
(917) 456-0437
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
246439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G100090927
MEDICARE PTAN
NY
Enumeration date
03/13/2013
Last updated
01/25/2017
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