person
Kettly Cazaubon
Family Nurse Practitioner in Freeport, New York
NPI 1912549049

Kettly Cazaubon is a Family Nurse Practitioner based in Port Jefferson Station, NY and is specialized in Family. Kettly Cazaubon practices in Freeport, NY. The NPI Number for Kettly Cazaubon is 1912549049 and holds a License No. 405633 (New York).

The current practice location address for Kettly Cazaubon is 567 Miller Ave, Freeport, NY and can be reached out via phone at 917-548-8917.

Location: 567 Miller Ave, Freeport, NY, 11776-8055
person
Provider Profile Details
NPI Number
1912549049
Provider Name
Kettly Cazaubon
Credential
Provider Entity Type
Individual
Gender
Female
Address
567 Miller Ave, Freeport, NY, 11776-8055
Phone Number
917-548-8917
Fax Number
Provider Enumeration Date
10/10/2019
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
567 Miller Ave
City
State
Zip
11520-6310
Phone Number
917-548-8917
Fax Number
person
Provider Business Mailing Address Details
Address
567 Miller Ave
City
State
Zip
11520-6310
Phone Number
917-548-8917
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
345151 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
405633 (New York)
Definition
Definition to come...
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