Shane Thomas Martensen

NPI #1336738913 in East Islip, New York

Provider Information

NPI Number
1336738913
Entity Type
Individual
Name
Shane Thomas Martensen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Jan 18, 2021
Last Updated
Jan 18, 2021

Practice Location

Address
35 THE MOOR
ZIP Code
11730-2922
Phone
(631) 383-2476

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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