Provider Demographics
NPI:1396196499
Name:MARTINI, SABRINA ELIZABETH (AG-ACNP)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ELIZABETH
Last Name:MARTINI
Suffix:
Gender:F
Credentials:AG-ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BEE DR
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2234
Mailing Address - Country:US
Mailing Address - Phone:631-748-9065
Mailing Address - Fax:
Practice Address - Street 1:8 BEE DR
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2234
Practice Address - Country:US
Practice Address - Phone:631-748-9065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-29
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY431008363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care