NPI: 1770570962 · COMMACK, NY 11725 · Endodontist · NPI assigned 10/03/2005
| Authorized Official | MARTIN, KEVIN (DR OWNER) |
| NPI Enumeration Date | 10/03/2005 |
Other providers sharing the same authorized official: MARTIN, KEVIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHRINERS HOSPITALS FOR CHILDREN | SALT LAKE CITY | UT | $605K |
| SHRINERS HOSPITALS FOR CHILDREN | SALT LAKE CITY | UT | $174K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 32 | $2K |