Individual
ANTHONY MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26041 73RD AVE, GLEN OAKS, NY 11004-1029
(718) 831-9589
Mailing address
26041 73RD AVE, GLEN OAKS, NY 11004-1029
(718) 831-9589
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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