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Bliss Nicole Lanzelotti, PA-C
Surgical Physician Assistant in East Northport, New York
NPI 1114499787

Bliss Nicole Lanzelotti is a Surgical Physician Assistant based in East Northport, NY and is specialized in Surgical. Bliss Nicole Lanzelotti practices in East Northport, NY and has the professional credentials of PA-C. The NPI Number for Bliss Nicole Lanzelotti is 1114499787 and holds a License No. 023091 (New York).

The current practice location address for Bliss Nicole Lanzelotti is 161 Daly Rd, East Northport, NY and can be reached out via phone at 516-581-0395.

Location: 161 Daly Rd, East Northport, NY, 11731-6335
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114499787
Provider Name
Bliss Nicole Lanzelotti
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
161 Daly Rd, East Northport, NY, 11731-6335
Phone Number
516-581-0395
Fax Number
Provider Enumeration Date
12/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
161 Daly Rd
City
East Northport
State
New York
Zip
11731-6335
Phone Number
516-581-0395
Fax Number
person
Provider Business Mailing Address Details
Address
161 Daly Rd
City
East Northport
State
New York
Zip
11731-6335
Phone Number
516-581-0395
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
023091 (New York)
Definition
Definition to come...
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