Individual
MR. MARTINY ST. JUSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO
Contact information
Practice address
1564 NEW YORK AVE, HUNTINGTON STATION, NY 11746-1727
(631) 421-6148
Mailing address
139 N 17TH ST, WHEATLEY HEIGHTS, NY 11798-1816
(631) 880-0961
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
Primary
004163
NY
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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