Martin, Carol Ann
Martin, Carol Ann is an individual health care provider with primary practice located at 3 Technology Dr Suite 700, East Setauket NY 11733-4064. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Martin, Carol Ann can be contacted via phone (631) 444-5220.Contact Information
Primary practice address
3 Technology Dr Suite 700
East Setauket NY 11733-4064
Phone: (631) 444-5220
Fax: (631) 444-5225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F302776-1 | New York |
Profile Details
NPI number | 1124018239 |
---|---|
LBN Legal business name | Martin, Carol Ann |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1124018239 | NPPES |
New York | MEDICAID | 02377728 |
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