Individual
JEFFREY L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787
(631) 265-8780
Mailing address
260 MIDDLE COUNTRY RD, SUITE 201, SMITHTOWN, NY 11787
(631) 265-8780
(631) 265-8521
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
201189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01971255
—
NY
01
—
0499792
GHI
—
01
—
180041248
RR MEDICARE
—
01
—
201189A30
HEALTHFIRST
—
01
—
2384630
AETNA
—
01
—
2C9074
HEALTHNET
—
01
—
32741P
HIP
—
01
—
332057
NVA
—
01
—
49Z351
BCBS
—
01
—
6864636010
CIGNA
—
01
—
68921
GHI HMO
—
01
—
85025
VYTRA
—
01
—
897893
MEC
—
01
—
AA70780
MDNY
—
01
—
NY8039
EYE MED
—
01
—
P1126323
OXFORD
—
01
—
S170362
SUFFOLK HEALTH
—
Enumeration date
08/11/2006
Last updated
02/15/2013
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