National Provider Identifier

Nicolas Martin, PA-C

Nicolas Martin, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-3327.

NPI 1568012029Rochester, NYPhysician Assistant

Profile Overview

NPI
1568012029
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 17, 2019
Last Updated
March 09, 2020

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-3327

Mailing Address

  • 2692 Putnam RD
  • Ontario, NY 14519-9611

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1568012029
Entity Type
Individual
Last Name
Martin
First Name
Nicolas
Name Prefix
Mr.
Credential
PA-C
Mailing Street Address
2692 Putnam RD
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-9611
Mailing Country
US
Mailing Phone
(315) 576-6249
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-3327
Practice Fax
(585) 922-3835
Enumeration Date
September 17, 2019
Last Updated
March 09, 2020
Sex
Male
Sole Proprietor
No
Certification Date
March 09, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)