Individual
EMMANUEL M MARTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 HAMMOND STREET, PORT JERVIS, NY 12771-2607
(845) 858-2854
(845) 343-5390
Mailing address
PO BOX 987, 21 ORCHARD STREET, MIDDLETOWN, NY 10940-5004
(845) 343-7614
(845) 343-5390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
238463
NY
208000000X
Pediatrics Physician
MD429082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02719937
—
NY
05
—
1018494050004
—
PA
Enumeration date
05/10/2006
Last updated
08/06/2012
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