Individual
MR. THOMAS J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
4 HAYPATH RD, BETHPAGE, NY 11714-1408
(516) 713-8955
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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