SHANE EVANDER MARTIN

WEST COXSACKIE, NY
NPI1043949175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2022-06-06
Last Update Date2023-03-08
Business Address
SHANE EVANDER MARTIN
11835 RT 9W
WEST COXSACKIE, NY 12192-3605
Phone number: 518-264-9000
Mailing Address
SHANE EVANDER MARTIN
11835 RT 9W
WEST COXSACKIE, NY 12192-3605
Phone number: 518-264-9000
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