Dr. Richard M Martirosian, D.O.
Family Medicine in Middletown, NY. Individual provider (NPI-1).
NPI number1699208454
StatusActive
Last updated in NPPESOct 9, 2020
Details
- NPI
- 1699208454
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard M Martirosian
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2017
- Certification date
- Oct 9, 2020
- Last updated
- Oct 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 302126 | NY | Yes |
Practice location
155 Crystal Run RdMiddletown, NY 10941-4057
Phone 845-703-6999 · Fax 845-703-6297
Mailing address
155 Crystal Run RdMiddletown, NY 10941-4057
Phone 845-703-6999 · Fax 845-703-6297
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