Individual provider · Type 1 NPI
Lisa Marie Mastrosimone, NP
Family Nurse Practitioner · Rochester, NY
NPI number
1124696067
Active
Practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Avenue Box 696
Rochester, NY 14642-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 347808 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124696067
Lisa Marie Mastrosimone, NP's National Provider Identifier is 1124696067, issued on Jun 16, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, NY. The record was last updated on Jun 14, 2026.