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Individual

JENNIFER M MARTINO-HAHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 NICOLLS ROAD HSC4 ROOM 120, STONY BROOK, NY 11794-8460
(631) 444-5400
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-5400

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203941
NY
2085R0205X
Radiological Physics Physician
203941
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01909439
NY
Enumeration date
07/05/2006
Last updated
12/28/2023
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