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

Kettly Cazaubon

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912549049

Kettly Cazaubon is a Psychiatric/Mental Health Nurse Practitioner in Freeport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

567 Miller Ave
Freeport, NY 11520-6310
Phone: (917) 548-8917
Fax: (949) 695-3560
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 345151 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 405633 (NY)

Record details

NPI number1912549049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 10, 2019
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Other providers in Freeport