Individual
JOSEPH MICHAEL MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, CASAC
Contact information
Practice address
452 SUFFOLK AVE, BRENTWOOD, NY 11717-4207
(631) 436-6065
(631) 436-6068
Mailing address
452 SUFFOLK AVE, BRENTWOOD, NY 11717-4207
(631) 436-6065
(631) 436-6068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
072032
NY
Other
Enumeration date
08/27/2008
Last updated
09/24/2008
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