Organization
MARTIN NYDICK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN NYDICK M.D. (PRESIDENT)
(212) 249-1260
Entity
Organization
Contact information
Practice address
475 E 72ND ST, SUITE L2, NEW YORK, NY 10021-4458
(212) 249-1260
(212) 794-3236
Mailing address
475 E 72ND ST, SUITE L2, NEW YORK, NY 10021-4458
(212) 249-1260
(212) 794-3236
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
081732
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118929
—
NY
Enumeration date
11/02/2009
Last updated
02/25/2010
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