Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 207468 | NY |
Y | 111NI0900X | Internist | 207468 | NY |
N | 207RR0500X | Rheumatology | 207468 | NY |
NPI | 1023043791 |
---|---|
Provider Name | Marina Anne Rathika Martyn |
First Address | Oneida, NY 13421-2668 |
Second Address | Oneida, NY 13421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 14/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01821627 | (05) | NY |
G52543 | (02) | NY |