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Contact Information

ALISA MARTIN, MS. ED.
137 MONTAGUE STREET,
SUITE #341
BROOKLYN, NY11201
 Phone: 646-271-6773
 Fax: 718-625-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for ALISA MARTIN · (Female)

NPI # 1386907798
Status Active
Credentials MS. ED.
Entity Individual
Enumeration date 06/20/2012
Last updated 06/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 175306.
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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