SHANE THOMAS MARTENSEN

EAST ISLIP, NY
NPI1336738913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-01-18
Last Update Date2021-01-18
Business Address
SHANE THOMAS MARTENSEN
35 THE MOOR
EAST ISLIP, NY 11730-2922
Phone number: 631-383-2476
Mailing Address
SHANE THOMAS MARTENSEN
35 THE MOOR
EAST ISLIP, NY 11730-2922
Phone number: 631-383-2476
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