Individual
MARTINA A SANNOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
998 CROOKED HILL RD, BRENTWOOD, NY 11717-1019
(631) 761-3652
(631) 761-3661
Mailing address
998 CROOKED HILL RD BLDG 69, BRENTWOOD, NY 11717-1019
(631) 579-3997
(631) 761-3661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
652205-1
NY
2084P0800X
Psychiatry Physician
Primary
F406341
NY
Other
Enumeration date
08/02/2018
Last updated
03/26/2025
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