| Doctor Name: | KAREN GILLETTE |
| NPI Number: | 1003288622 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 087548-1 |
| Business Practice Address: | 7555 Main Rd Mattituck, NY - 119521516 |
| Business Phone Number: | 6312988642 |
| Business Fax Number: | |
| Mailing Address: | 3980 Vanston Rd, CUTCHOGUE |
| State: | NY |
| Postal Code: | 119351629 |
| Phone Number: | 6317345145 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 087548-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |