Martin, Carol Ann

Martin, Carol Ann is an individual health care provider with primary practice located at 3 Technology Dr Suite 700, East Setauket NY 11733-4064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Martin, Carol Ann can be contacted via phone (631) 444-5220.

Contact Information

Primary practice address
3 Technology Dr Suite 700 East Setauket NY 11733-4064
Phone: (631) 444-5220
Fax: (631) 444-5225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302776-1 New York

Profile Details

NPI number 1124018239
LBN Legal business name Martin, Carol Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124018239 NPPES
New York MEDICAID 02377728

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