Provider Demographics
NPI:1265586168
Name:CILIONE, KATHLEEN W (APRN)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:W
Last Name:CILIONE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 HALPIN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1227
Mailing Address - Country:US
Mailing Address - Phone:646-452-8200
Mailing Address - Fax:646-452-8202
Practice Address - Street 1:170 HALPIN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1227
Practice Address - Country:US
Practice Address - Phone:718-227-1468
Practice Address - Fax:646-452-8202
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400392-1363LA2200X, 364SP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult