Individual
MS. MILDRED MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MENTAL HEALTH COUNSE
Contact information
Practice address
1241 LAFAYETTE AVE, BRONX, NY 10474-5336
(718) 378-6500
(718) 842-3846
Mailing address
1241 LAFAYETTE AVE, BRONX, NY 10474-5336
(718) 378-6500
(718) 842-3846
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002638
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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