Provider Demographics
NPI:1497270896
Name:SAKOWITZ, ASHLEY MARTHA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARTHA
Last Name:SAKOWITZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CORNISH CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6002
Mailing Address - Country:US
Mailing Address - Phone:631-572-7797
Mailing Address - Fax:
Practice Address - Street 1:777 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3136
Practice Address - Country:US
Practice Address - Phone:631-724-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY342177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily