Individual
KRISTOPHER ALAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
NORTH CENTRAL BRONX HOSPITAL, ROOM 11A-16, 3424 KOSSUTH AVENUE, BRONX, NY 10467-2410
(718) 519-2404
(718) 519-2366
Mailing address
3980 ORLOFF AVE APT 11A, BRONX, NY 10463-2882
(718) 519-2404
(718) 519-2366
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016631
NY
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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