Individual
SHABIAH COLIN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
321 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 470-1450
(631) 470-1451
Mailing address
321 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 470-1450
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
310132-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2015
Last updated
12/24/2021
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