Nurse Practitioner Infant and Child Healthcare, PC
Nurse Practitioner Infant and Child Healthcare, PC is a Pediatric Nurse Practitioner 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
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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