Individual
MISAEL MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 PEARL ST, PORT CHESTER, NY 10573-7614
(914) 393-2700
Mailing address
8 THOMAS JEFFERSON PL, MIDDLETOWN, NY 10940-4511
(845) 741-5656
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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