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Individual

CATHERINE SUSANNE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
155 E 76TH ST, SUITE 1C, NEW YORK, NY 10021-2810
(212) 794-2800
(212) 794-2899
Mailing address
155 E 76TH ST, SUITE 1C, NEW YORK, NY 10021-2810
(212) 794-2800
(212) 794-2899

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003829
VA
363AM0700X
Medical Physician Assistant
Primary
015479
NY

Other

Enumeration date
05/25/2012
Last updated
05/25/2012
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