Individual
BARBARA A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1676 SUNSET AVE, UTICA, NY 13502-5416
(315) 624-5226
(315) 624-5279
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F330149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01857423
—
NY
Enumeration date
07/10/2006
Last updated
05/04/2015
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