Martin, Laura T

Martin, Laura T is an individual health care provider with primary practice located at 3240 Corlear Ave , Bronx NY 10463. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Martin, Laura T can be contacted via phone (718) 601-3910.

Contact Information

Primary practice address
3240 Corlear Ave Bronx NY 10463
Phone: (718) 601-3910
Fax: (718) 432-7103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0391821 New York

Profile Details

NPI number 1841279783
LBN Legal business name Martin, Laura T
Credentials DDS ORTHODONTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841279783 NPPES
New York MEDICAID 00919860

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