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Contact Information

SHANNA L MARTE
299 HALLOCK AVENUE
POA JEFFERSON STATION, NY11776
 Phone: 631-473-4284
 Fax: 631-331-2204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SHANNA L MARTE · (Female)

NPI Number 1093680878
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2025
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 494399041
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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