Individual provider · Type 1 NPI

Lisa Michelle Hodge-Scelsa, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Patchogue, NY

NPI number 1104922244 Active

Practice location

77 Medford Ave, Route 112
Patchogue, NY 11772-1281

Fax (631) 758-1984

Mailing address

280 Montauk Hwy, PO Box 9182
Bay Shore, NY 11706-8403

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF301157 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104922244

Lisa Michelle Hodge-Scelsa, NURSE PRACTITIONER's National Provider Identifier is 1104922244, issued on Sep 16, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Patchogue, NY. The record was last updated on Aug 16, 2010.