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Lisa Marie Sammarco, FNP
Family Nurse Practitioner in Port Jefferson, New York
NPI 1518578780

Lisa Marie Sammarco is a Family Nurse Practitioner based in Port Jefferson, NY and is specialized in Family. Lisa Marie Sammarco practices in Port Jefferson, NY and has the professional credentials of FNP. The NPI Number for Lisa Marie Sammarco is 1518578780 and holds a License No. 346416 (New York).

The current practice location address for Lisa Marie Sammarco is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-473-1320.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518578780
Provider Name
Lisa Marie Sammarco
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
75 N Country Rd, Port Jefferson, NY, 11777-2119
Phone Number
631-473-1320
Fax Number
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
346416 (New York)
Definition
Definition to come...
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