Healthcare Provider Details

I. General information

NPI: 1316204290
Provider Name (Legal Business Name): ERLIN J. MARTE DO, MD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 07/21/2022
Certification Date: 12/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 HIGH ST
BUFFALO NY
14203
US

IV. Provider business mailing address

425 ESSJAY RD STE 170
BUFFALO NY
14221-5782
US

V. Phone/Fax

Practice location:
  • Phone: 716-857-8801
  • Fax: 716-817-1781
Mailing address:
  • Phone: 716-630-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number278625-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number278625-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number278625
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: