Individual
MS. CATHERINE DINAH MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 N GENEVA ST, ITHACA, NY 14850-4135
(607) 256-0619
Mailing address
82 SODOM RD, ITHACA, NY 14850-8775
(607) 256-0619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-042988-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02261934
—
NY
01
—
246983
VALUE OPTIONS
NY
Enumeration date
11/03/2006
Last updated
07/08/2007
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