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

Kaitlin Fanara

Individual provider Specialist · NPI 1376082339

Kaitlin Fanara is a Specialist in East Northport, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

216 Clay Pitts Rd
East Northport, NY 11731-3423
Phone: (631) 987-8257
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 974284151 (NY)

Record details

NPI number1376082339
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017

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