Individual
MRS. BERNADETTE MARTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17 WATERGATE DR, AMAWALK, NY 10501-1102
(914) 962-0457
Mailing address
17 WATERGATE DR, AMAWALK, NY 10501-1102
(914) 962-0457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R027855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564304
EMPIRE PLAN
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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