Provider Demographics
NPI:1699085902
Name:SAKHNO-MURPHY, ANNA SERGEYEVNA (DPT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:SERGEYEVNA
Last Name:SAKHNO-MURPHY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:SERGEYEVNA
Other - Last Name:SAKHNO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:724 PULASKI ST
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-3040
Mailing Address - Country:US
Mailing Address - Phone:631-664-3270
Mailing Address - Fax:
Practice Address - Street 1:724 PULASKI ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-3040
Practice Address - Country:US
Practice Address - Phone:631-664-3270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist