Individual
ANTONIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
153 W 27TH ST STE 300, NEW YORK, NY 10001-6259
(917) 283-0738
Mailing address
620 WILSON AVE STE 488, BROOKLYN, NY 11207-2175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P109170
NY
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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