Individual
KAITLYN JEAN FEERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
470 N ERIE AVE, LINDENHURST, NY 11757-3439
(631) 835-1358
Mailing address
1111 MARCUS AVE, NEW HYDE PARK, NY 11042-1221
(631) 835-1358
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
705859
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F383730-01
NY
Other
Enumeration date
09/30/2015
Last updated
02/13/2025
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