Individual
MIGUEL A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 856-9711
(716) 856-2608
Mailing address
430 NIAGARA ST, #2, BUFFALO, NY 14201-1886
(716) 856-9711
(716) 856-2608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354005
COMMUNITY BLUE
NY
Enumeration date
11/10/2006
Last updated
06/14/2013
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