National Provider Identifier Database

SANDRA J IANNOTTI, MD – NPI #1235151572
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

SANDRA J IANNOTTI, MD
309 E MAIN ST STE 102
SMITHTOWN, NY11787-2844
Phone: 631-360-2200
Fax: 631-360-1328
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for SANDRA J IANNOTTI

NPI Number 1235151572
Credentials MD
Entity Individual
Enumeration date 07/24/2006
Last updated 12/27/2022 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 222190-1
  • NY Other: 411F31 EMPIRE BC/BS
Hospital affiliation n/a

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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