Provider Demographics
NPI:1134222649
Name:MARTIN, CHRISTOPHER ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ANDREW
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:WESTCHESTER GASTROENTEROLOGY ASSOC. PC
Mailing Address - Street 2:777 NORTH BROADWAY, SUITE #305
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591
Mailing Address - Country:US
Mailing Address - Phone:914-366-6120
Mailing Address - Fax:914-366-4128
Practice Address - Street 1:WESTCHESTER GASTROENTEROLOGY ASSOC. PC
Practice Address - Street 2:777 NORTH BROADWAY, SUITE #305
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-366-6120
Practice Address - Fax:914-366-4128
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY219342207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY133496674OtherTAX ID
NYI49959Medicare UPIN
NY133496674OtherTAX ID