Provider Demographics
NPI:1750457248
Name:MARTONE, MARIA GRAZIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:GRAZIA
Last Name:MARTONE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:GRAZIA
Other - Last Name:MARTONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:41 ELIZABETH CT
Mailing Address - Street 2:
Mailing Address - City:NEW PROVIDENCE
Mailing Address - State:NJ
Mailing Address - Zip Code:07974-1625
Mailing Address - Country:US
Mailing Address - Phone:908-219-4027
Mailing Address - Fax:
Practice Address - Street 1:482 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-2601
Practice Address - Country:US
Practice Address - Phone:908-273-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014568103TC0700X
NJ4583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical