Healthcare Provider Details

I. General information

NPI: 1447730528
Provider Name (Legal Business Name): KAYLA MARIE ALOGNA-LIGOTTI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SOMERSET ST
HUNTINGTON STATION NY
11746-8411
US

IV. Provider business mailing address

1 SOMERSET ST
HUNTINGTON STATION NY
11746-8411
US

V. Phone/Fax

Practice location:
  • Phone: 631-271-3075
  • Fax:
Mailing address:
  • Phone: 631-271-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number022295-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: