Individual
CHRISTIAN JOHN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
301 E MAIN ST, DEPARTMENT OF ANESTHESIA, BAY SHORE, NY 11706-8408
(516) 404-3898
Mailing address
301 E MAIN ST, DEPARTMENT OF ANESTHESIA, BAY SHORE, NY 11706-8408
(516) 404-3898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
248181
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2008
Last updated
09/16/2016
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