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NPI Code Detail

MEDICARE: DR. ELIZABETH MARTIN M.D.

MEDICARE: DR. ELIZABETH MARTIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician193480NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235112301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH MARTIN M.D.
Provider Business Mailing Address
First Line : 52 MAIN ST
Second Line :
City : BEDFORD HILLS
State : NY
Zip : 10507-1814
Country : US
Telephone Number : 914-666-2220
Fax Number : 914-666-2987
Provider Business Practice Location Address
First Line : 52 MAIN ST
Second Line :
City : BEDFORD HILLS
State : NY
Zip : 10507-1814
Country : US
Telephone Number : 914-666-2220
Fax Number : 914-666-2987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 03/24/2016

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