Martin, Marguerite

Martin, Marguerite is an sole proprietor health care provider with primary practice located at 208 Wickham Ave , Middletown NY 10940-3801. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Martin, Marguerite can be contacted via phone (646) 285-4322.

Contact Information

Primary practice address
208 Wickham Ave Middletown NY 10940-3801
Phone: (646) 285-4322
Fax: (845) 386-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0131551 New York

Profile Details

NPI number 1922148915
LBN Legal business name Martin, Marguerite
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922148915 NPPES
New York Other 490310 VALUE OPTIONS
New York MEDICAID 02043016 VALUE OPTIONS
New York Other 13551 VALUE OPTIONS
New York Other P2881306 VALUE OPTIONS
New York Other 400180 VALUE OPTIONS

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