Individual provider · Type 1 NPI

Janine Domenica Pettit

Specialist · Islip, NY

NPI number 1063259836 Active

Practice location

252 Islip Ave
Islip, NY 11751-3015

Call (631) 581-6800 Map

Mailing address

10 Crest Ln
Commack, NY 11725-1321

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1063259836

Janine Domenica Pettit's National Provider Identifier is 1063259836, issued on Jul 10, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Islip, NY. The record was last updated on Jul 10, 2024.