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

Individual provider Specialist · NPI 1013440601

Mrs. Kristina Fowler, SPECIALEDUCATOR is a Specialist in Port Jefferson Station, New York. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

16 Superior St
Port Jefferson Station, NY 11776-4330
Phone: (631) 828-5378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1013440601
Entity typeIndividual (Type 1)
GenderFemale
Credentials SPECIALEDUCATOR
Sole proprietorYes
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017

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