Nurse Practitioner Infant and Child Healthcare, PC
Nurse Practitioner Infant and Child Healthcare, PC provides Pediatric Nurse Practitioner services in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1227 Main St Ste 201Port Jefferson, NY 11777
Phone: (631) 235-2401
Fax: (631) 689-3993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F-400866-1 (NY) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence 380749 (NY) |
Record details
| NPI number | 1568958700 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Triolo — President · (631) 235-2401 |
| Other names | Michele Kelly Lpnp, Npp |
| NPI enumerated | July 10, 2018 |
| Last updated in NPPES | July 10, 2018 |
| Mailing address | Po Box 631, Miller Place, NY 11764 |
Other providers in Port Jefferson
-
Emily Cauchi
75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 476-2706
-
Mrs. Tara Marie Lewis, NP
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 · (631) 474-6000