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NPI Code Detail

MEDICARE: MR. SEBASTIAN VINCENT MARTORANA RPA-C

MEDICARE:  MR. SEBASTIAN VINCENT MARTORANA  RPA-C
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
1363AM0700XMedical Physician Assistant010423NY
2363A00000XPhysician Assistant010423NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14937930001OTHERNYMEDICARE DME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3080821000023OTHERNYFIDELIS
4000411920002OTHERNYBSNENY
56019223OTHERNYMVP HEALTHCARE

General Provider Information

NPI Number : 1548206956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SEBASTIAN VINCENT MARTORANA RPA-C
Provider Business Mailing Address
First Line : 47 NEW SCOTLAND AVE
Second Line :
City : ALBANY
State : NY
Zip : 12208-3412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 159 JEFFERSON HTS
Second Line :
City : CATSKILL
State : NY
Zip : 12414-1237
Country : US
Telephone Number : 518-943-1442
Fax Number : 518-943-2003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/10/2026

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Directions to “ MR. SEBASTIAN VINCENT MARTORANA RPA-C” Practice Location

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