Individual
DR. TRISTAN KAREL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,LMFT
Contact information
Practice address
4500 PEWTER LANE, 8&9, MANLIUS, NY 13104
(315) 299-6975
Mailing address
792 N MAIN ST, SYRACUSE, NY 13212-1644
(315) 299-6975
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001640
NY
106H00000X
Marriage & Family Therapist
P10033
NY
Other
Enumeration date
10/20/2018
Last updated
03/09/2020
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