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NPI Code Detail

MEDICARE: MARTHA KARETNY MD

MEDICARE:   MARTHA  KARETNY  MD
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
1207R00000XInternal Medicine Physician204060NY

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 : 1306806419
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA KARETNY MD
Provider Business Mailing Address
First Line : 3115 BRIGHTON 4TH ST
Second Line : APT 3N
City : BROOKLYN
State : NY
Zip : 11235-7265
Country : US
Telephone Number : 718-743-6956
Fax Number :
Provider Business Practice Location Address
First Line : 726 AVENUE Z
Second Line : SUITE 2
City : BROOKLYN
State : NY
Zip : 11223-6322
Country : US
Telephone Number : 718-872-7373
Fax Number : 718-872-6772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 08/21/2008

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