Provider Demographics
NPI:1891813010
Name:KANIA, MARTA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARTA
Middle Name:
Last Name:KANIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CARMEL HTS
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-3415
Mailing Address - Country:US
Mailing Address - Phone:845-298-2340
Mailing Address - Fax:
Practice Address - Street 1:305 TITUSVILLE RD
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2917
Practice Address - Country:US
Practice Address - Phone:845-471-4115
Practice Address - Fax:845-471-4197
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042646-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice