Provider Demographics
NPI:1124791884
Name:MARTINEZ, NOEL CHIN (MA)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:CHIN
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 QUAKER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WESTTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10998-3020
Mailing Address - Country:US
Mailing Address - Phone:845-467-1548
Mailing Address - Fax:
Practice Address - Street 1:704 HAY RD
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:PA
Practice Address - Zip Code:19560-1844
Practice Address - Country:US
Practice Address - Phone:610-799-7827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-28
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health