Individual
KAITLIN L DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE STE 546, NEW YORK, NY 10032-3729
(877) 426-5637
Mailing address
161 FORT WASHINGTON AVE STE 546, NEW YORK, NY 10032-3729
(877) 426-5637
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309054
NY
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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