Provider Information for 1962639039
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Ms. MARTINE J BARON LCSW
Sex: Female
NPI: 1962639039
Last Updated: 2009-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962639039 | ||||||||
| Enumeration Date | 2009-06-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 110 W END AVE 21D NEW YORK, NY 10023-6340 United States Phone: 917-214-1227 | Fax:212-496-6186 | ||||||||
| Primary Practice Address | 110 W END AVE 21D NEW YORK, NY 10023-6340 United States Phone: 917-214-1227 | Fax:212-496-6186 | ||||||||
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