Individual
AUSTRIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
910 E 172ND ST, BRONX, NY 10460-5802
(347) 767-2200
Mailing address
150 E 45TH ST, NEW YORK, NY 10017-3115
(212) 949-4800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006151-1
NY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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