Individual
DR. KRISTEN HEDGER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
286 STAGE RD, CHARLTON, NY 12019-2619
(518) 399-2101
(518) 399-2130
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
231262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000416463001
BSNENY
NY
05
—
02563275
—
NY
01
—
070216000062
FIDELIS
NY
01
—
10084510
CDPHP
NY
01
—
1864R1
EMPIRE BC
NY
01
—
200100
SENIOR WHOLE HEALTH
NY
01
—
371498
MVP
NY
01
—
7415613
AETNA
NY
01
—
81879
GHI/HMO
NY
Enumeration date
07/19/2006
Last updated
01/18/2018
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