Individual
KATHLEEN PALLOTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16 LODGE LN, MILLER PLACE, NY 11764-1912
(516) 457-4006
Mailing address
16 LODGE LN, MILLER PLACE, NY 11764-1912
(516) 457-4006
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
456396-1
NY
Other
Enumeration date
01/15/2018
Last updated
06/16/2018
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