Individual
ANDREY MARTYNOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 NEWARK AVE STE 2, BELLEVILLE, NJ 07109-1123
(732) 844-9220
(732) 844-9221
Mailing address
2540 OCEAN AVE APT D6, BROOKLYN, NY 11229-3921
(939) 327-6360
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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