Individual provider · Type 1 NPI

Lizanna Angeli

Surgical Physician Assistant · Bay Shore, NY

NPI number 1508618505 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Mailing address

2508 Vista View Dr
Farmingville, NY 11738-3030

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1508618505

Lizanna Angeli's National Provider Identifier is 1508618505, issued on Apr 3, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Shore, NY. The record was last updated on Apr 3, 2024.