Individual
MS. LORETTA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
575 HUDSON VALLEY AVE, SUITE 201, NEW WINDSOR, NY 12553
(845) 220-2270
(845) 220-2277
Mailing address
575 HUDSON VALLEY AVE, SUITE 201, NEW WINDSOR, NY 12553
(845) 220-2270
(845) 220-2277
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
000616-1
NY
363AM0700X
Medical Physician Assistant
0006161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
356305
MVP INS
NY
Enumeration date
08/11/2006
Last updated
03/12/2013
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