Individual
DR. DAVID EUGENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 DENISON PKWY E, RADIOLOGY DEPARTMENT, CORNING, NY 14830-2814
(607) 937-7200
(607) 937-7860
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
107536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00632884
—
NY
05
—
1015357440001
—
PA
Enumeration date
02/13/2006
Last updated
09/15/2011
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