Mrs Mariya I Martynenko, MA | |
452 River Rd., Apt.l, Nutley, NJ 07110 | |
(973) 661-5234 | |
Not Available |
Full Name | Mrs Mariya I Martynenko |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 452 River Rd., Nutley, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215077227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00315800 (New Jersey) | Primary |
Entity Name | Center Of Revitalizing Psychiatry, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356497960 PECOS PAC ID: 0648239988 Enrollment ID: O20041004000585 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mariya I Martynenko, MA 452 River Rd Apt L, Nutley, NJ 07110-3639 Ph: (973) 661-5234 | Mrs Mariya I Martynenko, MA 452 River Rd., Apt.l, Nutley, NJ 07110 Ph: (973) 661-5234 |
Caterina A Viscomi, LPC, LICENSED COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212 | |
Jennifer Giacobbe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Vreeland Ave, Nutley, NJ 07110 Phone: 973-235-1212 Fax: 973-235-1527 | |
Maria Carputo, LAC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Tremont Pl, Nutley, NJ 07110 Phone: 201-889-6923 | |
Mr. Brandon Michael Lee, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 169 Chestnut St, Nutley, NJ 07110 Phone: 973-667-1884 | |
Mrs. Sally Ann Goncalves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Briar Ln, Nutley, NJ 07110 Phone: 973-623-0600 | |
Erin Doyle Theodorou, M.ED, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 590 Franklin Ave Suite 2, Nutley, NJ 07110 Phone: 973-963-7485 |