Individual
MARTA NIEDERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-3192
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-7887
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
172640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172640
LICENSE
NY
Enumeration date
12/09/2006
Last updated
11/04/2010
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