Individual
LISA M ARTINO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
35 HACKETT BLVD, ALBANY, NY 12208-3420
(518) 262-5575
(518) 262-5184
Mailing address
PO BOX 8836, UNIVERSITY EAR NOSE AND THROAT OF NORTHEASTERN NY, ALBANY, NY 12208-0836
(518) 262-5575
(518) 262-5184
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001406
NY
Other
Enumeration date
07/28/2005
Last updated
07/08/2007
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