Individual
CARISSA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 LONGFELLOW AVENUE, NEW YORK, NY 10460
(347) 497-3998
Mailing address
12 MCLAUGHLIN AVE, WEST HAVERSTRAW, NY 10993-1010
(845) 270-9330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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