Individual provider · Type 1 NPI

Candice Pallotta

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

NPI number 1356979009 Active

Practice location

201 W Broadway Apt 121
Port Jefferson, NY 11777-1352

Call (631) 833-4911 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 1356979009

Candice Pallotta's National Provider Identifier is 1356979009, issued on Mar 30, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Mar 30, 2020.