Individual provider · Type 1 NPI

Debra Civitano, FNP

Family Nurse Practitioner · West Islip, NY

NPI number 1295419240 Active

Practice location

500 Montauk Hwy
West Islip, NY 11795-4418

Mailing address

500 Montauk Hwy Ste Q
West Islip, NY 11795-4420

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF351904-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1295419240

Debra Civitano, FNP's National Provider Identifier is 1295419240, issued on Jun 12, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Islip, NY. The record was last updated on Jun 12, 2023.