Individual
MARTIN J BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 WARREN ST, GLENS FALLS, NY 12801
(518) 798-9985
(518) 761-7043
Mailing address
154 WARREN ST, PO BOX 141, GLENS FALLS, NY 12801
(518) 798-9985
(518) 761-7043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
230499
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501031
—
NY
Enumeration date
03/09/2006
Last updated
11/29/2011
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