Dr Vincent J Martino, DC | |
33 Greenwich Ave, Suite 1-c, New York, NY 10014-2701 | |
(212) 243-7800 | |
(212) 463-7727 |
Full Name | Dr Vincent J Martino |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 33 Greenwich Ave, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962538223 | NPI | - | NPPES |
5745702 | Other | NY | CIGNA PROVIDER ID |
P830237 | Other | NY | OXFORD PROVIDER ID |
323683 | Other | NY | ACN PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X6609 (New York) | Primary |
Provider Name | Life Clinic Of Nj Dc Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720575178 PECOS PAC ID: 4789917626 Enrollment ID: O20190610000918 |
Mailing Address | Practice Location Address |
---|---|
Dr Vincent J Martino, DC 33 Greenwich Ave, Suite 1-c, New York, NY 10014-2701 Ph: (212) 243-7800 | Dr Vincent J Martino, DC 33 Greenwich Ave, Suite 1-c, New York, NY 10014-2701 Ph: (212) 243-7800 |
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