Individual
LUIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS. ED.
Contact information
Practice address
1511 E 172ND ST, APARTMENT 1-R, BRONX, NY 10472-2154
(917) 538-6519
Mailing address
1511 E 172ND ST, APARTMENT 1-R, BRONX, NY 10472-2154
(917) 538-6519
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
221796031
NY
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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