Individual
KAITLYN C HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 345-0083
Mailing address
82 ELIZABETH DR, WADING RIVER, NY 11792-1809
(631) 740-1937
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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