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

Kimberly A Annicelli

Individual provider Early Intervention Provider Agency · NPI 1033687850

Kimberly A Annicelli is an Early Intervention Provider Agency in Port Jefferson Station, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

79 Crown St
Port Jefferson Station, NY 11776-2801
Phone: (631) 949-5894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1033687850
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2018
Last updated in NPPESNovember 9, 2018

Other providers in Port Jefferson Station