CANDICE PALLOTTA
NPI 1356979009
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since March 30, 2020
201 W BROADWAY APT 121, PORT JEFFERSON, NY 11777(631) 833-4911 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candice Pallotta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE PALLOTTA (NPI 1356979009) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1356979009
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCANDICE PALLOTTA
Location Address201 W BROADWAY APT 121Port Jefferson, NY 11777-1352
Mailing Address201 W Broadway Apt 121Port Jefferson, NY 11777-1352 · (631) 833-4911
Sole ProprietorYes
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
NPI 1356979009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
201 W BROADWAY APT 121, Port Jefferson, NY 11777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candice Pallotta's NPI number?

The NPI number for Candice Pallotta is 1356979009. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Candice Pallotta located?

Candice Pallotta practices at 201 W Broadway Apt 121, Port Jefferson, NY 11777. The listed phone number is (631) 833-4911.

What is Candice Pallotta's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Candice Pallotta was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.