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1013038975
MARTIN SAMPLE
SCHENECTADY, NY
NPI
1013038975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010377)
Enumeration Date
2007-04-02
Last Update Date
2015-07-22
Business Address
MARTIN SAMPLE PA
1101 NOTT ST
SCHENECTADY, NY 12308-2425
Phone number: 518-243-4000
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Mailing Address
MARTIN SAMPLE PA
600 MCCLELLAN ST 2 WEST
SCHENECTADY, NY 12304-1009
Phone number:
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