Individual
MARTIN PICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
787 11TH AVE FL 7, NEW YORK, NY 10019-3584
(877) 774-6328
Mailing address
787 11TH AVE FL 7, NEW YORK, NY 10019-3584
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
318621
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
318621
NY
Other
Enumeration date
04/01/2019
Last updated
07/08/2024
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