Individual
RYAN CHANDLER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 EASTWOODS RD, POUND RIDGE, NY 10576-2127
(347) 355-9673
Mailing address
219 EASTWOODS RD, POUND RIDGE, NY 10576-2127
(347) 355-9673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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