| Doctor Name: | MR. ANDREW F MARTINO |
| NPI Number: | 1164551438 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 011821 |
| Business Practice Address: | 1075 Portion Rd Suite 29 Farmingville, NY - 117384205 |
| Business Phone Number: | 6318807900 |
| Business Fax Number: | |
| Mailing Address: | 15 Seabrook Ln, STONY BROOK |
| State: | NY |
| Postal Code: | 117903323 |
| Phone Number: | 6316892171 |
| Fax Number: | |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 10/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 011821 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |