Individual
ELEANA KITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 ROUTE 112, PORT JEFFERSON STATION, NY 11776-8054
(631) 771-3000
Mailing address
36 TIDE CT, WADING RIVER, NY 11792-1052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F358652
NY
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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