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NPI Code Detail

MEDICARE: KAITLYNN A. BELLIZZI PMHNP-BC

MEDICARE:   KAITLYNN A. BELLIZZI  PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner402578NY

General Provider Information

NPI Number : 1154805752
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYNN A. BELLIZZI PMHNP-BC
Provider Business Mailing Address
First Line : 30 CRESCENT AVE
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-5100
Country : US
Telephone Number : 518-491-3280
Fax Number :
Provider Business Practice Location Address
First Line : 30 CRESCENT AVE
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-5100
Country : US
Telephone Number : 518-491-3280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 01/25/2026

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Directions to “ KAITLYNN A. BELLIZZI PMHNP-BC” Practice Location

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