NPI 1700039203

Kelly Anne Trites, MS

Practitioner Contractor Commack, NY

Practice location

Address: 67 Roxbury Dr, Commack, NY 11725-1338
Phone: (631) 858-0175

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1700039203
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2008
Record last updated: 28 Oct 2008

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.