Individual
MARTIN MASARECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 BIRDSALL ST, GREENE, NY 13778-1057
(607) 656-4115
(607) 656-9553
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
158655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00944918
—
NY
Enumeration date
07/28/2005
Last updated
11/29/2011
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