Individual
NICHOLAS FRANK MARTELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
4010 ALKEN AVE, SEAFORD, NY 11783-1416
(516) 817-9013
Mailing address
4010 ALKEN AVE, SEAFORD, NY 11783-1416
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1088109
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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