Individual provider · Type 1 NPI

Martha Kathleen Passino, PNP

Pediatric Nurse Practitioner · Plattsburgh, NY

NPI number 1356511174 Active

Practice location

25 Degrandpre Way
Plattsburgh, NY 12901-6449

Fax (833) 448-3030

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880

Other practice locations

  • 87 Plaza Blvd, Plattsburgh, NY 12901-6438 · (518) 536-7060

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X381931 (NY)

Pediatric Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1356511174

Martha Kathleen Passino, PNP's National Provider Identifier is 1356511174, issued on Mar 7, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Plattsburgh, NY. The record was last updated on Sep 29, 2026.