Organization Name: | ANITA KAY MARTIN, M.D. P.C. |
NPI Number: | 1073940284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANITA KAY MARTIN (OWNER) |
Mailing Address: | 20507 Hillside Ave Ste 28 Hollis |
State: | NY US |
Postal Code: | 114232220 |
Phone Number: | 7182179207 |
Fax Number: | 7182179334 |
NPI Enumeration Date: | 10/02/2013 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 182057 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |