Individual provider · Type 1 NPI
Lisa Antonia Staccone
Adult Health Nurse Practitioner · New York, NY
NPI number
1679876007
Active
Practice location
550 1st Ave
New York, NY 10016-6402
Mailing address
53 Sintsink Dr E
Port Washington, NY 11050-2043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F305420 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679876007
Lisa Antonia Staccone's National Provider Identifier is 1679876007, issued on Dec 7, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Apr 2, 2021.