Individual
DR. JOHANNA LYN SANGEMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
101 6TH AVE FL 8, NEW YORK, NY 10013-1905
(917) 580-7395
Mailing address
380 E SUNRISE HWY # 1028, PATCHOGUE, NY 11772-1906
(631) 517-3251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024249
NY
Other
Enumeration date
02/18/2021
Last updated
08/04/2023
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