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

Kathleen Mauro, CPTACE

Individual provider Nutrition Education Nutritionist · NPI 1457244345

Kathleen Mauro, CPTACE is a Nutrition Education Nutritionist in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
Specialties on file
3

Practice location Address checks out

2500 Nesconset Hwy Bldg 26
Stony Brook, NY 11790-2555
Phone: (631) 364-9038
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X · Licence T27075 (NY)
Nutrition Education Nutritionist Taxonomy 133NN1002X (NY)
Dietary Manager Taxonomy 132700000X

Record details

NPI number1457244345
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPTACE
Sole proprietorYes
NPI enumeratedMay 30, 2025
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Other providers in Stony Brook