Kaitlin M Petrillo, CLC is a
Lactation Consultant, Non-rn based in Ronkonkoma, New York. Kaitlin M Petrillo is licensed to practice in New York (license number 341362) and her current practice location is
18 Borman Ct, Ronkonkoma, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 219-4992.
NPI number for Kaitlin M Petrillo is 1558090860 and her current mailing address is 18 Borman Ct, Ronkonkoma, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558090860.
Healthcare Provider's Profile
Full Name | Kaitlin M Petrillo |
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Gender | Female |
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Speciality | Lactation Consultant, Non-rn |
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Location | 18 Borman Ct, Ronkonkoma, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558090860
- Provider Enumeration Date: 06/10/2022
- Last Update Date: 08/22/2022
Medical Identifiers
Medical identifiers for Kaitlin M Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558090860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 341362 (Massachusetts) | Secondary |
174N00000X | Lactation Consultant, Non-rn | 341362 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlin M Petrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaitlin M Petrillo, CLC 18 Borman Ct, Ronkonkoma, NY 11779-1981 Ph: (631) 219-4992 | Kaitlin M Petrillo, CLC 18 Borman Ct, Ronkonkoma, NY 11779-1981 Ph: (631) 219-4992 |
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