Individual
ALISON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 W 157TH ST, NEW YORK, NY 10032-7601
(212) 781-7979
(212) 781-7963
Mailing address
60 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718933-1
NY
363LF0000X
Family Nurse Practitioner
Primary
F341173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
10/03/2016
Last updated
10/31/2016
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