Individual provider · Type 1 NPI

Carol Ann Martin, NP

Adult Health Nurse Practitioner · East Setauket, NY

NPI number 1124018239 Active

Practice location

3 Technology Dr, Suite 700
East Setauket, NY 11733-4064

Fax (631) 444-5225

Mailing address

21 Orbit Dr
Stony Brook, NY 11790-3015

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF302776-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1124018239

Carol Ann Martin, NP's National Provider Identifier is 1124018239, issued on Oct 28, 2005. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in East Setauket, NY. The record was last updated on Jul 13, 2026.