Individual
MARTHA COUVERTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
552 BOLTON AVE, BRONX, NY 10473-2902
(917) 754-6061
Mailing address
552 BOLTON AVE, BRONX, NY 10473-2902
(917) 754-6061
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1736939
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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