Organization
CARLISLE L. ST. MARTIN, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLISLE L. ST. MARTIN MD (OWNER / PRESIDENT)
(718) 520-0808
Entity
Organization
Contact information
Practice address
11510 QUEENS BLVD, FOREST HILLS, NY 11375-7060
(718) 520-0808
(718) 544-0972
Mailing address
11510 QUEENS BLVD, FOREST HILLS, NY 11375-7060
(718) 520-0808
(718) 544-0972
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
153547
NY
Other
Enumeration date
03/28/2008
Last updated
07/02/2008
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