Treccagnoli, Kaitlyn

Treccagnoli, Kaitlyn is an sole proprietor health care provider with primary practice located at 710 Main St , Port Jefferson NY 11777-2278. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Treccagnoli, Kaitlyn can be contacted via phone (631) 716-5881.

Contact Information

Primary practice address
710 Main St Port Jefferson NY 11777-2278
Phone: (631) 716-5881
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101698 New York

Profile Details

NPI number 1568959823
LBN Legal business name Treccagnoli, Kaitlyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2018
Last updated Jan 23rd, 2024 - about 10 months 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.

Request for update

Popular Providers