Individual provider · Type 1 NPI

Bliss Nicole Lanzelotti, PA-C

Surgical Physician Assistant · East Northport, NY

NPI number 1114499787 Active

Practice location

161 Daly Rd
East Northport, NY 11731-6335

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X023091 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1114499787

Bliss Nicole Lanzelotti, PA-C's National Provider Identifier is 1114499787, issued on Dec 20, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in East Northport, NY. The record was last updated on Dec 20, 2018.