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
Phone: (631) 880-2531
Fax: (631) 476-1835
Website:
Health care specialties
Specialty | Code | License # | 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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