Provider Demographics
NPI:1386632529
Name:MARTIN, JANET ESTHER CUMMINGS (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:ESTHER CUMMINGS
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NEWTON AVE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1155
Mailing Address - Country:US
Mailing Address - Phone:607-334-7144
Mailing Address - Fax:607-334-7054
Practice Address - Street 1:6 NEWTON AVE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-1155
Practice Address - Country:US
Practice Address - Phone:607-334-7144
Practice Address - Fax:607-334-7054
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09584512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10024527OtherCDPHP
NY01658539Medicaid
G15106Medicare UPIN