Individual
MR. JAMES ALLEN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC,ARNP
Contact information
Practice address
133 SARATOGA RD, GLENVILLE, NY 12302-4108
(716) 984-9309
Mailing address
133 SARATOGA RD, APT. T-05, GLENVILLE, NY 12302-4108
(716) 984-9309
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1330
NY
363LF0000X
Family Nurse Practitioner
9242972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271498
—
NY
Enumeration date
06/23/2005
Last updated
02/13/2013
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