Individual
DR. MARGUERITE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 WICKHAM AVE, MIDDLETOWN, NY 10940-3801
(646) 285-4322
(845) 386-6710
Mailing address
12 CENTRAL AVE, NEWBURGH, NY 12550-3525
(646) 285-4322
(845) 386-6710
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0131551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02043016
—
NY
01
—
13551
GHI
NM
01
—
400180
MVP
NY
01
—
490310
VALUE OPTIONS
NY
01
—
P2881306
OXFORD
CT
Enumeration date
02/07/2007
Last updated
07/08/2007
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