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Dr. TARA DAWN MARTINEZ DO

Individual Provider (NPI-1) Active

Colon & Rectal Surgery

Provider Information

NPI Number
1962693887
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
2171 JERICHO TPKE STE 100, COMMACK, NY, 117252900
Phone
(631) 486-5030
Fax
(631) 486-2694

Specialties & Taxonomies

Surgery License: NY #267602
Colon & Rectal Surgery License: FL #OS16564
Colon & Rectal Surgery Primary License: NY #267602

All Addresses

LOCATION

2171 JERICHO TPKE STE 100

COMMACK, NY, 117252900

(631) 486-5030

MAILING

2171 JERICHO TPKE STE 100

COMMACK, NY, 117252900

(631) 486-5030