Martakis, Emmanuel M
Martakis, Emmanuel M is an individual health care provider with primary practice located at 140 Hammond Street , Port Jervis NY 12771-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Martakis, Emmanuel M can be contacted via phone (845) 858-2854.Contact Information
Primary practice address
140 Hammond Street
Port Jervis NY 12771-2607
Phone: (845) 858-2854
Fax: (845) 343-5390
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 238463 | New York |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD429082 | Pennsylvania |
Profile Details
NPI number | 1609826023 |
---|---|
LBN Legal business name | Martakis, Emmanuel M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Aug 6th, 2012 - about 12 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 | 1609826023 | NPPES |
Pennsylvania | MEDICAID | 1018494050004 | |
Pennsylvania | MEDICAID | 02719937 |
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