Individual
DR. EDWARD JOSEPH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
246 NEW SCOTLAND AVE, ALBANY, NY 12208-3101
(518) 482-4407
(518) 482-4408
Mailing address
PO BOX 355, SLINGERLANDS, NY 12159-0355
(518) 818-1302
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
102850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405848
BLUE SHIELD OF NENY
NY
01
—
10001298
CDPHP
NY
01
—
400621
MVP HEALTH CARE
NY
01
—
70373
EMPIRE BC/BS
NY
Enumeration date
05/04/2006
Last updated
09/20/2017
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