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General NPI Number Information
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NPI Number | 1528986932
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Entity Type | Organization
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Legal Business Name | CHRISTINE MARIE O'DONOGHUE-KITT MD PC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 887 OLD COUNTRY RD STE A
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City | RIVERHEAD
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State | NY
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Zip | 11901-2115
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Country | US
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Telephone | 631-405-7515
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Fax |
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Provider Business Mailing Address
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Address Line | 55 WINDFLOWER LN
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City | RIVERHEAD
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State | NY
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Zip | 11901-1407
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Country | US
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Telephone | 631-405-7515
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Fax |
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Authorized Official
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Title or Position | OWNER EMPLOYEE
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Name | DR. CHRISTINE MARIE O'DONOGHUE-KITT
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Credential | MD
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Telephone | 631-405-7515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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