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Kaitlin Fanara
Specialist in East Northport, New York
NPI 1376082339

Kaitlin Fanara is a Specialist based in East Northport, NY. Kaitlin Fanara practices in East Northport, NY. The NPI Number for Kaitlin Fanara is 1376082339 and holds a License No. 974284151 (New York).

The current practice location address for Kaitlin Fanara is 216 Clay Pitts Rd, East Northport, NY and can be reached out via phone at 631-987-8257.

Location: 216 Clay Pitts Rd, East Northport, NY, 11731-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376082339
Provider Name
Kaitlin Fanara
Credential
Provider Entity Type
Individual
Gender
Female
Address
216 Clay Pitts Rd, East Northport, NY, 11731-3423
Phone Number
631-987-8257
Fax Number
Provider Enumeration Date
02/22/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
216 Clay Pitts Rd
City
East Northport
State
New York
Zip
11731-3423
Phone Number
631-987-8257
Fax Number
person
Provider Business Mailing Address Details
Address
216 Clay Pitts Rd
City
East Northport
State
New York
Zip
11731-3423
Phone Number
631-987-8257
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
974284151 (New York)
Definition
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.
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