Individual
TORI N MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-PMHNP, RN, BSN
Contact information
Practice address
600 E GENESEE ST STE 217, SYRACUSE, NY 13202
(315) 464-3265
Mailing address
719 HARRISON ST, SYRACUSE, NY 13210-2695
(315) 464-3265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719891
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404997
NY
Other
Enumeration date
12/15/2019
Last updated
04/07/2024
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