Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELYSSA MARTINO, MA
Active Sole ProprietorELYSSA MARTINO, MA is a Community/Behavioral Health healthcare provider located in EAST RUTHERFORD, New Jersey. NPI 1578370706 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · EAST RUTHERFORD, NJ
Registration Details
- NPI Number
- 1578370706
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2024 (1.5302632365805 yrs)
- Last Updated
- Dec 11, 2024
- License
-
BACB765732 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
96 CHADWICK STEAST RUTHERFORD, NJ, 070731603Browse NJ providers · Browse ZIP 07073
- Phone
- 2014141568
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.