Individual
MICHAEL EDWARD MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCAT, ATR-BC
Contact information
Practice address
17 E GENESEE ST, AUBURN, NY 13021-4040
(315) 253-9795
Mailing address
17 E GENESEE ST, AUBURN, NY 13021-4040
(315) 253-9795
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
001992
NY
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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