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:
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Health care specialties

SpecialtyCodeLicense #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 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 1609826023 NPPES
Pennsylvania MEDICAID 1018494050004
Pennsylvania MEDICAID 02719937

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