Individual
ERICA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 FARBER DRIVE UNIT D, BELLPORT, NY 11713
(631) 286-0700
Mailing address
11 FARBER DRIVE UNIT D, BELLPORT, NY 11713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17100
NY
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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