Individual
BRENDA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
580 SUNRISE HWY, WEST BABYLON, NY 11704-6000
(631) 422-9355
(631) 669-8763
Mailing address
580 SUNRISE HWY, WEST BABYLON, NY 11704-6000
(631) 422-9355
(631) 669-8763
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4036
AZ
207V00000X
Obstetrics & Gynecology Physician
LP00744
RI
207VG0400X
Gynecology Physician
Primary
320354
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370950
—
AZ
Enumeration date
05/20/2008
Last updated
11/07/2024
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