Martino-Hahn, Jennifer M

Martino-Hahn, Jennifer M is an individual health care provider with primary practice located at 101 Nicolls Road Hsc4 Room 120 , Stony Brook NY 11794-8460. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Martino-Hahn, Jennifer M can be contacted via phone (631) 444-5400.

Contact Information

Primary practice address
101 Nicolls Road Hsc4 Room 120 Stony Brook NY 11794-8460
Phone: (631) 444-5400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 203941 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 203941 New York

Profile Details

NPI number 1336170919
LBN Legal business name Martino-Hahn, Jennifer M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336170919 NPPES
New York MEDICAID 01909439

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