Individual
DR. MARTIN S BHARATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 HAVEN AVE, PORT WASHINGTON, NY 11050-3924
(516) 944-7650
Mailing address
136 HAVEN AVE, PORT WASHINGTON, NY 11050-3924
(516) 944-7650
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
195145
NY
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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