Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE EVANDER MARTIN
Active Sole ProprietorSHANE EVANDER MARTIN is a Urgent Care Center healthcare provider located in WEST COXSACKIE, New York. NPI 1043949175 is currently active in the NPPES registry. Verify at CMS.
Urgent Care Center · WEST COXSACKIE, NY
Registration Details
- NPI Number
- 1043949175
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2022 (4.2015650013179 yrs)
- Last Updated
- Mar 8, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
11835 RT 9WWEST COXSACKIE, NY, 121923605Browse NY providers · Browse ZIP 12192
- Phone
- 5182649000
- Primary Specialty
-
Urgent Care Center
261QU0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.