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LISA MARIE PELLEGRINO
NPI 1265203376
Specialist in West Islip, NY

Active since January 09, 2024
863 TANGLEWOOD RD, WEST ISLIP, NY 11795(702) 506-1062 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Marie Pellegrino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE PELLEGRINO (NPI 1265203376) is an individual specialist in West Islip, New York and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1265203376
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameLISA MARIE PELLEGRINO
Location Address863 TANGLEWOOD RDWest Islip, NY 11795-3540
Mailing Address863 Tanglewood RdWest Islip, NY 11795-3540 · (702) 506-1062
Phone(702) 506-1062
Sole ProprietorYes
Enumeration DateJanuary 9, 2024
Last NPPES UpdateJanuary 14, 2024
NPPES CertifiedJanuary 14, 2024
✔ NPI 1265203376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
863 TANGLEWOOD RD, West Islip, NY 11795
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Pellegrino's NPI number?

The NPI number for Lisa Pellegrino is 1265203376. It was assigned to this individual provider in the NPPES registry on January 9, 2024.

Where is Lisa Pellegrino located?

Lisa Pellegrino practices at 863 Tanglewood Rd, West Islip, NY 11795. The listed phone number is (702) 506-1062.

What is Lisa Pellegrino's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lisa Pellegrino was last updated on January 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.