Individual provider · Type 1 NPI
Lisa Marie Pellegrino
Specialist · West Islip, NY
NPI number
1265203376
Active
Practice location
863 Tanglewood Rd
West Islip, NY 11795-3540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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 1265203376
Lisa Marie Pellegrino's National Provider Identifier is 1265203376, issued on Jan 9, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Islip, NY. The record was last updated on Jan 14, 2024.