Individual
SERINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 ROE ST, NEWBURGH, NY 12550-3733
(845) 569-0034
Mailing address
46 ROE ST, NEWBURGH, NY 12550-3733
(845) 569-0034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11945
NY
Other
Enumeration date
12/01/2006
Last updated
04/25/2011
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