Individual
KATELIN L ELENTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 N COUNTRY RD STE 201, PORT JEFFERSON, NY 11777-2161
(631) 331-0200
Mailing address
70 N COUNTRY RD STE 201, PORT JEFFERSON, NY 11777-2161
(631) 331-0200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
542117
NY
363L00000X
Nurse Practitioner
Primary
309150
NY
Other
Enumeration date
04/29/2019
Last updated
04/30/2019
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