Individual
JEREMY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAT LP
Contact information
Practice address
318 KNICKERBOCKER AVE APT 3K, BROOKLYN, NY 11237-3890
(646) 630-5326
Mailing address
318 KNICKERBOCKER AVE APT 3K, BROOKLYN, NY 11237-3890
(646) 630-5326
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P108373
NY
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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