Individual provider · Type 1 NPI

Lisa Crocco

Specialist · Port Jefferson Station, NY

NPI number 1255100772 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

51 Strong Ave
Babylon, NY 11702-1815

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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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About NPI 1255100772

Lisa Crocco's National Provider Identifier is 1255100772, issued on Dec 26, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Dec 26, 2023.