Dr. Nicholas Darryl Martin, MD
Internal Medicine in New York, NY. Individual provider (NPI-1).
NPI number1902425887
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1902425887
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Darryl Martin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA12739800 | NJ | Yes |
| 207R00000X | Internal Medicine | 321305 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 212-305-6354
Mailing address
630 W 168th St # 4New York, NY 10032-3725
Other practice locations
3400 Spruce St
Philadelphia, PA 19104-4238
Philadelphia, PA 19104-4238
Phone 212-662-9990
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