Colavito, Martin Irving
Colavito, Martin Irving is an individual health care provider with primary practice located at 17-19 Sussex Street , Port Jervis NY 12771-2430. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Colavito, Martin Irving can be contacted via phone (845) 856-6344.Contact Information
Primary practice address
17-19 Sussex Street
Port Jervis NY 12771-2430
Phone: (845) 856-6344
Fax: (845) 856-4091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 7929 | New York |
Profile Details
| NPI number | 1487801650 |
|---|---|
| LBN Legal business name | Colavito, Martin Irving |
| Credentials | CASAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2008 |
| Last updated | Aug 19th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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