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Individual

DR. GEORGE T. MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 55TH STREET, LMC PHYSICIAN SERVICES, PC, BROOKLYN, NY 11220
(718) 630-7000
(718) 630-8515
Mailing address
5800 THIRD AVENUE, MANAGED CARE DEPARTMENT, BROOKLYN, NY 11220
(718) 630-7124
(718) 630-7437

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
115717
NY
207RG0100X
Gastroenterology Physician
115717
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000384680101
HEALTH PLUS
NY
01
00115717
NEIGHBORHOOD
NY
05
00344812
NY
01
1000034539 004
AFFINITY
NY
01
113192423MA10
CARE PLUS
NY
01
115717-A79
HEALTH FIRST
NY
01
171903
ELDERPLAN
NY
01
301258
WELLCARE
NY
01
702496
UNITED HEALTHCARE
NY
01
P427181
OXFORD
NY
Enumeration date
09/21/2006
Last updated
09/11/2025
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