Individual
DR. KEVIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 CRESCENT AVE, SARATOGA SPRINGS, NY 12866-5142
(518) 584-3600
(518) 584-3235
Mailing address
21 HARVEST LN, GANSEVOORT, NY 12831-2530
(518) 584-0383
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
219540
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01047290
—
NY
Enumeration date
09/20/2006
Last updated
07/09/2007
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