Individual
CAITLIN KERRI GAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
12105 ROCKAWAY BEACH BLVD, ROCKAWAY PARK, NY 11694-1821
(718) 412-9980
Mailing address
103 ABBEY CT, BROOKLYN, NY 11229-6065
(917) 757-0406
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383646
NY
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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