Individual provider · Type 1 NPI

Kyra Lyn Faragasso

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

NPI number 1538073374 Active

Practice location

316 Accabonac Rd
East Hampton, NY 11937-1932

Call (631) 324-3344 Map

Mailing address

PO Box 1044
Shelter Island, NY 11964-1044

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 1538073374

Kyra Lyn Faragasso's National Provider Identifier is 1538073374, issued on Sep 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Hampton, NY. The record was last updated on Sep 29, 2026.