Individual
MELINDA DIANE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SEIS
Contact information
Practice address
268 W SAUGERTIES RD, SAUGERTIES, NY 12477-3142
(845) 247-8777
Mailing address
38 WOODS RD, TIVOLI, NY 12583-5430
(845) 518-5568
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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