Individual
WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3758
(631) 351-3712
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3758
(631) 351-3712
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
168911-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01340252
—
NY
01
—
20813
GHI
NY
01
—
2C4864
HEALTHNET
NY
01
—
53K241
BLUE CROSS/ BLUE SHIELD
NY
01
—
CS274
OXFORD
NY
Enumeration date
08/08/2006
Last updated
07/09/2008
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