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Individual

KATIE CANNAMELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 SUNRISE HWY, AMITYVILLE, NY 11701-2508
(516) 474-1596
Mailing address
PO BOX 337, PLAINVIEW, NY 11803-0337

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404395
NY

Other

Enumeration date
08/22/2022
Last updated
10/04/2022
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