NICHOLAS PETER MARTIN

WEST ISLIP, NY
NPI1205113040
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015323)
Enumeration Date2011-11-08
Last Update Date2018-10-05
Business Address
Mr. NICHOLAS PETER MARTIN P.A.
1145 MONTAUK HWY
WEST ISLIP, NY 11795-4909
Phone number: 631-665-3376
Mailing Address
Mr. NICHOLAS PETER MARTIN P.A.
63 SUNSET DR
SAYVILLE, NY 11782-2808
Phone number: 516-622-6000