Individual
JOHN HENRY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1549 ROUTE 9, HALFMOON, NY 12065-5614
(518) 373-5756
(518) 373-5759
Mailing address
1549 ROUTE 9, HALFMOON, NY 12065-5614
(518) 373-5756
(518) 373-5759
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005325-01
NY
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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