Martin, Crewson Andrew

Martin, Crewson Andrew is an sole proprietor health care provider with primary practice located at 210 Liberty Ave , Port Jefferson NY 11777-2010. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martin, Crewson Andrew can be contacted via phone (631) 880-2531.

Contact Information

Primary practice address
210 Liberty Ave Port Jefferson NY 11777-2010
Fax: (631) 476-1835
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X R038729-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X R038729-1 New York

Profile Details

NPI number 1659318848
LBN Legal business name Martin, Crewson Andrew
Credentials M.S.W., L-C.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2006
Last updated Nov 16th, 2022 - about 2 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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