Individual provider · Type 1 NPI

Isabella Loccisano

Specialist · Lake Grove, NY

NPI number 1467375691 Active

Practice location

58 Walnut St
Lake Grove, NY 11755-2908

Call (774) 722-0385 Map

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 1467375691

Isabella Loccisano's National Provider Identifier is 1467375691, issued on Aug 3, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Grove, NY. The record was last updated on Aug 3, 2026.