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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356979009

Candice Pallotta is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

201 W Broadway Apt 121
Port Jefferson, NY 11777-1352
Phone: (631) 833-4911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1356979009
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

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