| Martinez Psychiatry Md | |
|
18-20 Lackawanna Plz Ste 200 Montclair NJ 07042-3642 | |
| (973) 801-2255 | |
| Not Available |
| Full Name | Martinez Psychiatry Md |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18-20 Lackawanna Plz Ste 200, Montclair, New Jersey |
| Authorized Official Name and Position | Yary Martinez (OWNER) |
| Authorized Official Contact | 9738012255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martinez Psychiatry Md 427 Brook St Linden NJ 07036-4107 Ph: () - | Martinez Psychiatry Md 18-20 Lackawanna Plz Ste 200 Montclair NJ 07042-3642 Ph: (973) 801-2255 |
| NPI Number | 1548017916 |
|---|---|
| Provider Enumeration Date | 05/03/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548017916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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