Individual
DR. MARTIN R CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA06683400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02961195
—
NY
Enumeration date
11/08/2006
Last updated
03/08/2021
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