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Individual

KATHLEEN MARY TAIBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN ANP

Contact information

Practice address
STONY BROOK UNIVERSITY HOSPITAL, CARDIOLOGY DIVISION HSC 16 080, STONY BROOK, NY 11794-0000
(631) 444-1066
(631) 444-3365
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, CARDIOLOGY DIVISION HSC 16 080, STONY BROOK, NY 11794-0000
(631) 444-1066
(631) 444-3365

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301163-1
NY

Other

Enumeration date
07/07/2008
Last updated
07/07/2008
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