Pine, Martin S
Pine, Martin S is an sole proprietor health care provider with primary practice located at 20 Park Ave Suite 1A, New York NY 10016-3893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Pine, Martin S can be contacted via phone (212) 532-8494.Contact Information
Primary practice address
20 Park Ave Suite 1A
New York NY 10016-3893
Phone: (212) 532-8494
Fax: (212) 532-8425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207RA0201X | 109191 | New York |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 25MA02573300 | New Jersey |
Profile Details
NPI number | 1467587485 |
---|---|
LBN Legal business name | Pine, Martin S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2007 |
Last updated | Apr 5th, 2018 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467587485 | NPPES |
New York | Other | 132963926 | TAX ID |
New York | Other | 1467587485 | TAX ID |
New York | Other | 323802 | TAX ID |
New York | Other | 3404949000 | TAX ID |
New York | Other | 8833753 | TAX ID |
New York | Other | 1467587485 | TAX ID |
New York | Other | 4316513 | TAX ID |
New York | Other | 4411182 | TAX ID |
New York | Other | P571240 | TAX ID |
New York | Other | 1062082 | TAX ID |
New York | Other | 392724 | TAX ID |
New York | MEDICAID | 0533491 | TAX ID |
New York | Other | 5140091 | TAX ID |
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