Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA DAWN MARTINEZ, DO
ActiveDR. TARA DAWN MARTINEZ, DO is a Colon & Rectal Surgery healthcare provider located in COMMACK, New York. NPI 1962693887 is currently active in the NPPES registry. Verify at CMS.
Colon & Rectal Surgery · COMMACK, NY
Registration Details
- NPI Number
- 1962693887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (19.050118505833 yrs)
- Last Updated
- Apr 21, 2022
- Licenses
-
267602 (NY)OS16564 (FL)267602 (NY)
Practice Information
- Address
-
2171 JERICHO TPKE STE 100COMMACK, NY, 117252900Browse NY providers · Browse ZIP 11725
- Phone
- 6314865030
- Fax
- 6314862694
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- Colon & Rectal Surgery
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.