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1396459855
SAMUEL MARTIN
BRONX, NY
NPI
1396459855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-10
Last Update Date
2023-01-10
Business Address
SAMUEL MARTIN
5676 RIVERDALE AVE STE 202
BRONX, NY 10471-2100
Phone number: 718-796-5300
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Mailing Address
SAMUEL MARTIN
5676 RIVERDALE AVE STE 202
BRONX, NY 10471-2100
Phone number: 718-796-5300
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