Individual
TERI A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-4508
(607) 735-5738
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330978
NY
363LF0000X
Family Nurse Practitioner
F330978-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02093850
—
NY
Enumeration date
07/19/2005
Last updated
06/08/2016
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