Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aundrea Eliza Knapp

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114636461

Aundrea Eliza Knapp is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone: (631) 474-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 269 Walker Ave, East Patchogue, NY 11772-5519 — (631) 987-1607

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1114636461
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 15, 2022
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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