Individual
DR. ANN MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCCA MS BS
Contact information
Practice address
5100 W TAFT RD, SUITE 4L, LIVERPOOL, NY 13088-3807
(315) 452-2124
Mailing address
8403 WOODBOX RD, MANLIUS, NY 13104-9416
(315) 751-3142
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
002090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561353
—
NY
Enumeration date
08/01/2006
Last updated
02/07/2017
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