National Provider Identifier
Theresa Martin, MD
Theresa Martin, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Marion, NY and a listed phone number of (315) 926-7733.
Profile Overview
- NPI
- 1497133342
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- May 12, 2015
- Last Updated
- June 30, 2023
Practice Location
- 3669 Countryside Ln
- Marion, NY 14505
Phone: (315) 926-7733
Mailing Address
- PO Box 110
- Marion, NY 14505-0110
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- tmartin138176@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1497133342
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Theresa
- Credential
- MD
- Mailing Street Address
- PO Box 110
- Mailing City
- Marion
- Mailing State
- NY
- Mailing ZIP Code
- 14505-0110
- Mailing Country
- US
- Mailing Phone
- (315) 926-7733
- Mailing Fax
- (315) 926-0731
- Practice Street Address
- 3669 Countryside Ln
- Practice City
- Marion
- Practice State
- NY
- Practice ZIP Code
- 14505
- Practice Country
- US
- Practice Phone
- (315) 926-7733
- Practice Fax
- (315) 926-0731
- Enumeration Date
- May 12, 2015
- Last Updated
- June 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)