NPI 1003783416

Kaitlyn C Harris

Practitioner Peer Specialist Mastic, NY

Practice location

Address: 1235 Montauk Hwy, Mastic, NY 11950-2917
Phone: (631) 345-0083
Mailing address: 82 Elizabeth Dr, Wading River, NY 11792-1809

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003783416
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2025
Record last updated: 21 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.