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Shivani St Martin

NPI 1396232419 · on the registry since 2018 · sole proprietor

Practice

Address
409 Fulton St Lot A
Hannibal, NY 13074
Phone
(315) 564-6575
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 51 E Market St Fl 1, Red Hook, NY

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York