Individual
CONWAY CLARENCE MARTINDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
116 JOHN STREET, 27 FLOOR, NEW YORK, NY 10038
(212) 385-0086
(212) 732-0757
Mailing address
116 JOHN STREET, 27 FLOOR, NEW YORK, NY 10038
(212) 385-0086
(212) 732-0757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20317
NY
Other
Enumeration date
04/29/2008
Last updated
09/09/2008
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