Individual
AMARILIS ANDREA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 NICOLLS ROAD, STONY BROOK, NY 11794-9452
(631) 444-0650
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301105936
MI
Other
Enumeration date
04/15/2014
Last updated
11/30/2022
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