Basic Information
Provider Information
NPI: 1316204290
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARTE
FirstName: ERLIN
MiddleName: J.
NamePrefix:  
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Credential: DO, MD, MS
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Mailing Information
Address1: 425 ESSJAY RD STE 170
Address2:  
City: BUFFALO
State: NY
PostalCode: 142215782
CountryCode: US
TelephoneNumber: 7166301000
FaxNumber:  
Practice Location
Address1: 85 HIGH ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 14203
CountryCode: US
TelephoneNumber: 7168578801
FaxNumber: 7168171781
Other Information
ProviderEnumerationDate: 04/18/2012
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 12/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X278625NYN Allopathic & Osteopathic PhysiciansHospitalist 
207RE0101X278625-1NYY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207R00000X278625-1NYN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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