Individual
DR. TRACEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
780 8TH AVE STE 303, NEW YORK, NY 10036-7000
(212) 641-4500
Mailing address
1087 CARROLL ST APT D2, BROOKLYN, NY 11225-2168
(631) 612-1996
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
292642
NY
Other
Enumeration date
05/31/2015
Last updated
01/26/2024
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