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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