Individual
DR. ELLIOT J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2139 COUNTY ROUTE 21, VALATIE, NY 12184-3116
(518) 697-9701
Mailing address
2139 COUNTY ROUTE 21, VALATIE, NY 12184-3116
(518) 697-9701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007068
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X007068
LICENSE
NY
Enumeration date
02/12/2007
Last updated
04/03/2018
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