Provider Demographics
NPI:1306926092
Name:MARTORANO, MARCOS D (LCSW)
Entity type:Individual
Prefix:MR
First Name:MARCOS
Middle Name:D
Last Name:MARTORANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2573 ACORN PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1201
Mailing Address - Country:US
Mailing Address - Phone:516-826-2582
Mailing Address - Fax:516-826-2582
Practice Address - Street 1:2573 ACORN PL
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1201
Practice Address - Country:US
Practice Address - Phone:516-826-2582
Practice Address - Fax:516-826-2582
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR026683-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical