Individual
KATHLEEN ANN DEFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 LOCUST AVE, OAKDALE, NY 11769-1651
(631) 868-1244
Mailing address
188 CAMBRIDGE DR, PORT JEFFERSON STATION, NY 11776-3542
(631) 506-9971
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P111947
NY
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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