Backenstoss, Martine S

Backenstoss, Martine S is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Backenstoss, Martine S can be contacted via phone (585) 922-3220.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Fax: (585) 922-3518
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 232884 New York

Profile Details

NPI number 1952379349
LBN Legal business name Backenstoss, Martine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Apr 23rd, 2021 - about 3 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 1952379349 NPPES
New York MEDICAID 02570432

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