Individual
DR. RICHARD ALBERT DEMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
331 USHERS ROAD, NORTHWAY 10 PROFESSIONAL PARK, BALLSTON LAKE, NY 12019-1327
(518) 877-7358
(518) 877-7213
Mailing address
23 MERIDIAN LN, BALLSTON LAKE, NY 12019-1327
(518) 877-7358
(518) 877-7213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10002
NY
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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