Martin, William

Martin, William is an individual health care provider with primary practice located at 325 Park Ave , Huntington NY 11743-2779. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Martin, William can be contacted via phone (631) 351-3758.

Contact Information

Primary practice address
325 Park Ave Huntington NY 11743-2779
Phone: (631) 351-3758
Fax: (631) 351-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 168911-1 New York

Profile Details

NPI number 1700896131
LBN Legal business name Martin, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 9th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700896131 NPPES
New York MEDICAID 01340252
New York Other 20813
New York Other CS274
New York Other 2C4864
New York Other 53K241

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