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

KAITLIN M PETRILLO, CLC

Active Sole Proprietor

KAITLIN M PETRILLO, CLC is a Lactation Consultant healthcare provider located in RONKONKOMA, New York. NPI 1558090860 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant · RONKONKOMA, NY

Registration Details

NPI Number
1558090860
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2022 (4.2127603890069 yrs)
Last Updated
Aug 22, 2022
Licenses
341362 (MA)
341362 (NY)
Sole Proprietor
Yes

Practice Information

Address
18 BORMAN CT
RONKONKOMA, NY, 117791981
Browse NY providers · Browse ZIP 11779
Phone
6312194992
Primary Specialty
Lactation Consultant
174N00000X
Additional Specialty
Lactation Consultant

Other Lactation Consultant Providers in RONKONKOMA, NY

Name Credential NPI
LENORE GUARIGLIA 1508692674
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.