| Emmanuel M Martakis, MD | |
|
140 Hammond Street, Port Jervis, NY 12771-2607 | |
| (845) 858-2854 | |
| (845) 343-5390 |
| Full Name | Emmanuel M Martakis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 140 Hammond Street, Port Jervis, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609826023 | NPI | - | NPPES |
| 1018494050004 | Medicaid | PA | |
| 02719937 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 238463 (New York) | Primary |
| 208000000X | Pediatrics | MD429082 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel M Martakis, MD Po Box 987, 21 Orchard Street, Middletown, NY 10940-5004 Ph: (845) 343-7614 | Emmanuel M Martakis, MD 140 Hammond Street, Port Jervis, NY 12771-2607 Ph: (845) 858-2854 |
Parviz R Mohassel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 123 Pike St, Suite 209, Port Jervis, NY 12771 Phone: 845-856-6671 Fax: 845-858-9903 | |
Dr. Sara J. Little, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11 Orchard St, Port Jervis, NY 12771 Phone: 845-672-3995 Fax: 845-373-3111 |