Individual
MR. ALEXANDER MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWR
Contact information
Practice address
109 N 12TH ST FL 8, BROOKLYN, NY 11249-1008
(347) 651-0900
(888) 901-8693
Mailing address
446 E MEADOW AVE UNIT 723, EAST MEADOW, NY 11554-6024
(347) 651-0900
(888) 901-8693
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077662
NY
1041C0700X
Clinical Social Worker
077662R
NY
1041S0200X
School Social Worker
794944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03403610
—
NY
Enumeration date
12/01/2006
Last updated
10/23/2021
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