Martin, Mary Kathleen

Martin, Mary Kathleen is an individual health care provider with primary practice located at 31 Main Rd , Riverhead NY 11901-1953. 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, Mary Kathleen can be contacted via phone (631) 722-4400.

Contact Information

Primary practice address
31 Main Rd Riverhead NY 11901-1953
Phone: (631) 722-4400
Fax: (631) 722-4426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F305471 New York

Profile Details

NPI number 1477863082
LBN Legal business name Martin, Mary Kathleen
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Jan 13th, 2017 - about 7 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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