Provider Demographics
NPI:1194034801
Name:LINDER, MARTHA F (CNM)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:F
Last Name:LINDER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:FREEBORN
Other - Last Name:LINDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:ATTN: C. MILLER
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-255-7438
Mailing Address - Fax:315-255-7099
Practice Address - Street 1:143 NORTH STREET, SUITE #4
Practice Address - Street 2:D/B/A AUBURN OBSTETRICS & GYNECOLOGY
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1983
Practice Address - Country:US
Practice Address - Phone:315-252-5028
Practice Address - Fax:315-252-1587
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001408367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03277272Medicaid