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Shane Evander Martin
Urgent Care Clinic/Center in West Coxsackie, New York
NPI 1043949175

Shane Evander Martin is a Urgent Care Clinic/Center based in West Coxsackie, NY and is specialized in Urgent Care. Shane Evander Martin practices in West Coxsackie, NY. The NPI Number for Shane Evander Martin is 1043949175 and holds a License No. (New York).

The current practice location address for Shane Evander Martin is 11835 Rt 9W, West Coxsackie, NY and can be reached out via phone at 518-264-9000.

Location: 11835 Rt 9W, West Coxsackie, NY, 12192-3605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043949175
Provider Name
Shane Evander Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
11835 Rt 9W, West Coxsackie, NY, 12192-3605
Phone Number
518-264-9000
Fax Number
Provider Enumeration Date
06/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11835 Rt 9W
City
West Coxsackie
State
New York
Zip
12192-3605
Phone Number
518-264-9000
Fax Number
person
Provider Business Mailing Address Details
Address
11835 Rt 9W
City
West Coxsackie
State
New York
Zip
12192-3605
Phone Number
518-264-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
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