Individual
CAROLYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36 7TH AVE, SUITE 410, NEW YORK, NY 10011-6609
(800) 750-8616
Mailing address
26 FIREMANS MEMORIAL DR, SUITE 115, POMONA, NY 10970-3553
(845) 362-8400
(845) 362-8474
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
137242
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00691254
—
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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