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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY A ANNICELLI

Active Sole Proprietor

KIMBERLY A ANNICELLI is a Early Intervention Provider Agency healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1033687850 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1033687850
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2018 (7.7902873045011 yrs)
Last Updated
Nov 9, 2018
Sole Proprietor
Yes

Practice Information

Address
79 CROWN ST
PORT JEFFERSON STATION, NY, 117762801
Browse NY providers · Browse ZIP 11776
Phone
6319495894
Primary Specialty
Early Intervention Provider Agency
252Y00000X

Other Early Intervention Provider Agency Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MS. CARA MARCY 1356692990
NICOLE D'ANGELO 1134529621
ELBA L SALAMANCA RIVERA 1619706348
SHAINA MARIE MORALES 1508689241
DANIELLE RULLO 1457154635
MRS. AMY PATRICIA MCKEE MSED, SBL, SDL 1952268518
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.