Martina, Nancy J. M.

Martina, Nancy J. M. is an sole proprietor health care provider with primary practice located at 5784 Main St , Williamsville NY 14221-5702. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martina, Nancy J. M. can be contacted via phone (716) 633-6863.

Contact Information

Primary practice address
5784 Main St Williamsville NY 14221-5702
Phone: (716) 633-6863
Fax: (716) 633-9106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 023084 New York

Profile Details

NPI number 1407841380
LBN Legal business name Martina, Nancy J. M.
Credentials LCSWR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2005
Last updated Mar 26th, 2013 - about 12 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 1407841380 NPPES
New York Other 0077832 VALUE OPTIONS/GHI
New York Other 000503479001 VALUE OPTIONS/GHI
New York Other 6207981 VALUE OPTIONS/GHI
New York Other 00020238501 VALUE OPTIONS/GHI

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