Martin, Jeanne

Martin, Jeanne is an individual health care provider with primary practice located at 24 Research Way Suite 500, East Setauket NY 11733-3453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Jeanne can be contacted via phone (631) 444-6270.

Contact Information

Primary practice address
24 Research Way Suite 500 East Setauket NY 11733-3453
Phone: (631) 444-6270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 301569 New York

Profile Details

NPI number 1669409769
LBN Legal business name Martin, Jeanne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1669409769 NPPES
New York MEDICAID 02367577

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