Philease J Martin
Philease J Martin is a Medical Physician Assistant in Stamford, Connecticut. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
2001 W Main StStamford, CT 06902-4501
Phone: (203) 658-8291
Fax: (203) 658-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 021588-1 (NY) |
|---|
Record details
| NPI number | 1255844197 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2017 |
| Last updated in NPPES | November 14, 2017 |
| Mailing address | 21715 Jamaica Ave Apt 2b, Queens Village, NY 11428-2122 |
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