Martin Butler, PHD
Individual provider Active NPI Professional Counselor · New York, NY
NPI 1033282983 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033282983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 011055 (NY)
- Practice address
- 257 Park Ave S
New York, NY 10010-7304 - Phone
- (212) 677-8550
- Fax
- (212) 677-5825
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011055 | NY | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 011055 | NY | Yes |
Addresses
Primary practice location
257 Park Ave S
New York, NY 10010-7304
Mailing address
257 Park Ave S
New York, NY 10010-7304
Phone (212) 677-8550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011055 | Other | NY | LICENSE |
Other providers in New York, NY
- Katherine Rose Butler
- Leslie Renee Butler
- Malika Butler
- Marcus William Butler
- Margarite Butler
- Myra E Butler
- Nicole Butler
- Nicole Butler
- Reilly Butler
- Tara A Butler
All providers in New York, NY · Professional Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.