Kittilsen, Debra

Kittilsen, Debra is an sole proprietor health care provider with primary practice located at 148 Terry Rd , Smithtown NY 11787-5102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kittilsen, Debra can be contacted via phone (631) 862-4000.

Contact Information

Primary practice address
148 Terry Rd Smithtown NY 11787-5102
Phone: (631) 862-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000914 New York

Profile Details

NPI number 1447484282
LBN Legal business name Kittilsen, Debra
Credentials CNM, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2009
Last updated May 7th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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