Martin, Tamara

Martin, Tamara is an individual health care provider with primary practice located at 321 Genesee St , Oneida NY 13421-2611. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Tamara can be contacted via phone (315) 363-6000.

Contact Information

Primary practice address
321 Genesee St Oneida NY 13421-2611
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 009766 New York

Profile Details

NPI number 1972594117
LBN Legal business name Martin, Tamara
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 2nd, 2024 - about 8 months 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 1972594117 NPPES
New York MEDICAID 02528027

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