Individual
DR. MICHAEL DEMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
58 IROQUOIS ST E, MASSAPEQUA, NY 11758-7626
(516) 797-8941
(516) 797-8941
Mailing address
58 IROQUOIS ST E, MASSAPEQUA, NY 11758-7626
(516) 797-8941
(516) 797-8941
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
167514
NY
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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