Provider Demographics
NPI:1326876533
Name:MOTTO, SARAH BRITTANY (FNP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:BRITTANY
Last Name:MOTTO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-4021
Mailing Address - Country:US
Mailing Address - Phone:516-476-7886
Mailing Address - Fax:
Practice Address - Street 1:251 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-4021
Practice Address - Country:US
Practice Address - Phone:516-476-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF354401-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily