Individual
JILLIAN MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR
Contact information
Practice address
4109 SUNRISE HWY, BOHEMIA, NY 11716-4600
(631) 503-1539
Mailing address
7 ALEXANDER DR, FARMINGDALE, NY 11735-3203
(516) 468-5980
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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