Martin De Porres

NPI #1063712347 in Elmont, New York

Provider Information

NPI Number
1063712347
Entity Type
Organization
Organization Name
Martin De Porres
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 2, 2010
Last Updated
Nov 2, 2010

Practice Location

Address
621 ELMONT ROAD
City
Elmont
ZIP Code
10003
Phone
(516) 502-2840

Authorized Official

Name
MS. PATRICIA LYONS, MSW
Title
SOCIAL WORKER
Phone
(516) 502-2840

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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