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1205113040
NICHOLAS PETER MARTIN
WEST ISLIP, NY
NPI
1205113040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015323)
Enumeration Date
2011-11-08
Last Update Date
2018-10-05
Business Address
Mr. NICHOLAS PETER MARTIN P.A.
1145 MONTAUK HWY
WEST ISLIP, NY 11795-4909
Phone number: 631-665-3376
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Mailing Address
Mr. NICHOLAS PETER MARTIN P.A.
63 SUNSET DR
SAYVILLE, NY 11782-2808
Phone number: 516-622-6000
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