LAURA MARTINO


Address: 94 Collfield Avenue, Staten Island, NY 10302-2419
Phone: 7184486307

LAURA MARTINO (NPI# 1104185156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104185156
Entity Type Individual
Full Name LAURA MARTINO
Credential M.A., NCSP
Practice Address 94 Collfield Avenue
Staten Island
NY 10302-2419
Practice Telephone 7184486307
Mailing Telephone 7184486307
Enumeration Date 2012-05-11
Last Update Date 2018-03-29
NPI Deactivation Date 08/01/2017
NPI Reactivation Date 2018-03-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers LAURA MARTINO

NPI Name Taxonomy Address Enumeration
1881935252 Laura Catherine Martino Nurse Practitioner 5949 Buford Hwy, Norcross, GA 30071-2472 2013-03-11

Office Location

Street Address 94 COLLFIELD AVENUE
City STATEN ISLAND
State NY
Zip Code 10302-2419

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1912453788 Adewunmi Bankole Registered Nurse 124 Nicholas Avenue Apt B, Staten Island, NY 10302 2016-08-31
1154788974 Eileen Patricia Cameron Counselor 263-267 Port Richmond Aveune, Staten Island, NY 10302 2016-01-25
1225468432 Total Dental Care of Staten Island, P.C. Dentist 135 Willowbrook Road, Staten Island, NY 10302 2013-11-25
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1962751255 Kathleen Gomez-rodriguez Speech-Language Pathologist 12 Crystal Ave, Staten Island, NY 10302 2012-09-03
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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336696574 Diana M Dawson Psychologist 23 Forrestal Ct, Staten Island, NY 10312-1914 2016-09-06
1386022275 Mary Rizk Psychologist 26 Globe Ave, Staten Island, NY 10314-7246 2015-05-11
1255739975 Dmitriy Keselman Psychologist 210 Finley Ave, Staten Island, NY 10306-5649 2014-12-11
1073927760 Evelina Ostrov Psychologist 319 Jefferson Ave, Staten Island, NY 10306-5222 2014-06-20
1497189690 Trisha J Arkoi Psychologist 135 Arnold St, Staten Island, NY 10301-2236 2013-08-25
1316283559 Julia Ryder Psychologist 256 Olympia Blvd, Staten Island, NY 10305-4240 2012-12-17
1508128141 Freddy N Posadas Psychologist 522 Melyn Pl, Staten Island, NY 10303-2612 2012-06-11
1639466931 Danielle M Marks Psychologist 33 Chesebrough Street, Staten Island, NY 10312-1709 2011-07-07
1255623849 Tamara Bumshteyn Psychologist 136 Sandalwood Dr, Staten Island, NY 10308-1848 2011-05-13
1467769810 Lina Percaccio Psychologist 10 Joline Lane, Staten Island, NY 10307 2010-09-07
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Competitor

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City STATEN ISLAND
Zip Code 10302

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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