Individual
MARTINE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 CAMBRIDGE ST, VALLEY STREAM, NY 11581-1111
(516) 506-5697
Mailing address
37 CAMBRIDGE ST, VALLEY STREAM, NY 11581-1111
(516) 506-5697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
264359
NY
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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