Individual
MISS JANINE DEMARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 SOUTH AVE, STATEN ISLAND, NY 10314-3604
(718) 761-9800
Mailing address
17A LOVELL AVE, STATEN ISLAND, NY 10314-4943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
NY
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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