Pine, Martin S

Pine, Martin S is an sole proprietor health care provider with primary practice located at 20 Park Ave Suite 1A, New York NY 10016-3893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Pine, Martin S can be contacted via phone (212) 532-8494.

Contact Information

Primary practice address
20 Park Ave Suite 1A New York NY 10016-3893
Phone: (212) 532-8494
Fax: (212) 532-8425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 109191 New York
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 25MA02573300 New Jersey

Profile Details

NPI number 1467587485
LBN Legal business name Pine, Martin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Apr 5th, 2018 - about 8 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 1467587485 NPPES
New York Other 132963926 TAX ID
New York Other 1467587485 TAX ID
New York Other 323802 TAX ID
New York Other 3404949000 TAX ID
New York Other 8833753 TAX ID
New York Other 1467587485 TAX ID
New York Other 4316513 TAX ID
New York Other 4411182 TAX ID
New York Other P571240 TAX ID
New York Other 1062082 TAX ID
New York Other 392724 TAX ID
New York MEDICAID 0533491 TAX ID
New York Other 5140091 TAX ID

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