Provider Demographics
NPI:1003958349
Name:MARTIN L. NASS. P.C.
Entity Type:Organization
Organization Name:MARTIN L. NASS. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:NASS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-475-5511
Mailing Address - Street 1:19 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8938
Mailing Address - Country:US
Mailing Address - Phone:212-475-5511
Mailing Address - Fax:212-533-9440
Practice Address - Street 1:19 W 9TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8938
Practice Address - Country:US
Practice Address - Phone:212-475-5511
Practice Address - Fax:212-533-9440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00148103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty