Individual
ANGELA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
530 GRAND ST APT D2B, NEW YORK, NY 10002-4250
(212) 353-9901
Mailing address
530 GRAND ST APT D2B, NEW YORK, NY 10002-4250
(212) 353-9901
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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