Individual provider · Type 1 NPI

Shane Evander Martin

Urgent Care Clinic/Center · West Coxsackie, NY

NPI number 1043949175 Active

About NPI 1043949175

Shane Evander Martin's National Provider Identifier is 1043949175, issued on Jun 6, 2022. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in West Coxsackie, NY. The record was last updated on Mar 8, 2023.