Individual
MRS. ALISA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. ED.
Contact information
Practice address
137 MONTAGUE STREET,, SUITE #341, BROOKLYN, NY 11201
(646) 271-6773
(718) 625-1027
Mailing address
137 MONTAGUE STREET,, SUITE #341, BROOKLYN, NY 11201
(646) 271-6773
(718) 625-1027
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
175306.
NY
252Y00000X
Early Intervention Provider Agency
—
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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