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Lisa Marie Pellegrino
Specialist in West Islip, New York
NPI 1265203376

Lisa Marie Pellegrino is a Specialist based in West Islip, NY. Lisa Marie Pellegrino practices in West Islip, NY. The NPI Number for Lisa Marie Pellegrino is 1265203376 and holds a License No. (New York).

The current practice location address for Lisa Marie Pellegrino is 863 Tanglewood Rd, West Islip, NY and can be reached out via phone at 702-506-1062.

Location: 863 Tanglewood Rd, West Islip, NY, 11795-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265203376
Provider Name
Lisa Marie Pellegrino
Credential
Provider Entity Type
Individual
Gender
Female
Address
863 Tanglewood Rd, West Islip, NY, 11795-3540
Phone Number
702-506-1062
Fax Number
Provider Enumeration Date
01/09/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
863 Tanglewood Rd
City
West Islip
State
New York
Zip
11795-3540
Phone Number
702-506-1062
Fax Number
person
Provider Business Mailing Address Details
Address
863 Tanglewood Rd
City
West Islip
State
New York
Zip
11795-3540
Phone Number
702-506-1062
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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