Individual
DR. MARTIN H NIETHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 NORTHERN BLVD, SUITE 150, GREAT NECK, NY 11021-5207
(516) 325-7000
(516) 325-7001
Mailing address
611 NORTHERN BLVD., SUITE 150, GREAT NECK, NY 11021
(516) 325-7000
(516) 325-7001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
238500
NY
Other
Enumeration date
02/23/2007
Last updated
12/08/2015
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