Kathleen Fanelli
NPI #1023833977 in Port Jefferson, New York
Provider Information
- NPI Number
- 1023833977
- Entity Type
- Individual
- Name
- Kathleen Fanelli
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Enumeration Date
- Nov 16, 2024
- Last Updated
- Mar 20, 2025
Practice Location
- Address
- 75 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2119
- Phone
- (631) 473-1320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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