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Individual

JAH-SEE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
804 E 138TH ST, BRONX, NY 10454-1932
(718) 292-2401
Mailing address
775 SAINT ANNS AVE APT D, BRONX, NY 10456-7681

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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