Individual provider · Type 1 NPI

Tara Elizabeth Cardillo, CPNP

Pediatric Nurse Practitioner · Smithtown, NY

NPI number 1740765973 Active

Practice location

260 E Middle Country Rd
Smithtown, NY 11787-2982

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X382893 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740765973

Tara Elizabeth Cardillo, CPNP's National Provider Identifier is 1740765973, issued on Oct 3, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Smithtown, NY. The record was last updated on Dec 18, 2018.