Provider Demographics
NPI:1013196591
Name:MARTIN, ANN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4250 BROADWAY
Mailing Address - Street 2:STE. 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-3748
Mailing Address - Country:US
Mailing Address - Phone:212-740-3900
Mailing Address - Fax:212-740-8232
Practice Address - Street 1:4250 BROADWAY
Practice Address - Street 2:STE. 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3748
Practice Address - Country:US
Practice Address - Phone:212-740-3900
Practice Address - Fax:212-740-8232
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2021-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY245329208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics