Individual
STEPHANIE MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 CASTLETON AVE STE 2, STATEN ISLAND, NY 10310-1818
(718) 982-4740
Mailing address
1216 BAY ST, STATEN ISLAND, NY 10305-3169
(718) 982-4740
(718) 273-5159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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