SearchNew York252Y00000X

Kimberly Annicelli

NPI 1033687850 · on the registry since 2018 · sole proprietor

Practice

Address
79 Crown St
Port Jefferson Station, NY 11776
Phone
(631) 949-5894

Registry record

Primary taxonomy
252Y00000X
252Y00000X
Sex
Female
Record last updated
2018-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York