Individual
MR. DEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NYS PEER SPECIALIST
Contact information
Practice address
35 BARKER AVE APT 6A, WHITE PLAINS, NY 10601-1663
(914) 356-1528
Mailing address
35 BARKER AVE APT 6A, WHITE PLAINS, NY 10601-1663
(914) 356-1528
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-P-2717
NY
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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