Breen, Martin J

Breen, Martin J is an individual health care provider with primary practice located at 154 Warren St , Glens Falls NY 12801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Breen, Martin J can be contacted via phone (518) 798-9985.

Contact Information

Primary practice address
154 Warren St Glens Falls NY 12801
Fax: (518) 761-7043
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 230499 New York

Profile Details

NPI number 1427026103
LBN Legal business name Breen, Martin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Nov 29th, 2011 - about 13 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 1427026103 NPPES
New York MEDICAID 02501031

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