Martin, Laura T
Martin, Laura T is an individual health care provider with primary practice located at 3240 Corlear Ave , Bronx NY 10463. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Martin, Laura T can be contacted via phone (718) 601-3910.Contact Information
Primary practice address
3240 Corlear Ave
Bronx NY 10463
Phone: (718) 601-3910
Fax: (718) 432-7103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 0391821 | New York |
Profile Details
| NPI number | 1841279783 |
|---|---|
| LBN Legal business name | Martin, Laura T |
| Credentials | DDS ORTHODONTIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841279783 | NPPES |
| New York | MEDICAID | 00919860 |
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