Petrillo, Kaitlin M

Petrillo, Kaitlin M is an sole proprietor health care provider with primary practice located at 18 Borman Ct , Ronkonkoma NY 11779-1981. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Lactation Consultant, Non-RN. Other Service Providers / Lactation Consultant, Non-RN is her primary health care specialty. Petrillo, Kaitlin M can be contacted via phone (631) 219-4992.

Contact Information

Primary practice address
18 Borman Ct Ronkonkoma NY 11779-1981
Phone: (631) 219-4992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 341362 Massachusetts
Other Service Providers / Lactation Consultant, Non-RN 174N00000X 341362 New York

Profile Details

NPI number 1558090860
LBN Legal business name Petrillo, Kaitlin M
Credentials CLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2022
Last updated Aug 22nd, 2022 - about 2 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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