Martin, Raquel G

Martin, Raquel G is an individual health care provider with primary practice located at 2950 Elmwood Ave , Kenmore NY 14217-1304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Martin, Raquel G can be contacted via phone (716) 204-4500.

Contact Information

Primary practice address
2950 Elmwood Ave Kenmore NY 14217-1304
Fax: (716) 204-4501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 157556 New York

Profile Details

NPI number 1902851256
LBN Legal business name Martin, Raquel G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Nov 5th, 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 1902851256 NPPES
New York MEDICAID 01059594

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