Individual provider · Type 1 NPI

Katis Martin, PA-C

Medical Physician Assistant · New York, NY

NPI number 1164617718 Active

Practice location

525 E 68th St Ste J-130
New York, NY 10065-4870

Call (212) 746-0315 Map

Mailing address

1826 Gormley Ave
Merrick, NY 11566-3009

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X012076 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1164617718

Katis Martin, PA-C's National Provider Identifier is 1164617718, issued on Sep 6, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Nov 2, 2017.