Individual provider · Type 1 NPI

Kelly Taurisano

Student in an Organized Health Care Education/Training Program · Smithtown, NY

NPI number 1336634005 Active

Practice location

11 Route 111
Smithtown, NY 11787-3754

Call (631) 836-2780 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336634005

Kelly Taurisano's National Provider Identifier is 1336634005, issued on Jun 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Smithtown, NY. The record was last updated on Jul 18, 2019.