Individual
MR. MICHAEL L. MARTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 GEYSER RD, BALLSTON SPA, NY 12020-3022
(518) 885-6884
Mailing address
133 DROMS RD, SCOTIA, NY 12302-9739
(518) 860-9421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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