Organization
UPSTATE ENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE T MARTIN MD (OWNER)
(607) 756-8075
Entity
Organization
Contact information
Practice address
1095 COMMONS AVE, CORTLAND, NY 13045-1669
(607) 756-8075
Mailing address
1095 COMMONS AVE, CORTLAND, NY 13045-1669
(607) 756-8075
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
179356
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01478293
—
NY
Enumeration date
08/31/2006
Last updated
08/22/2020
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