Lisa Marchello

NPI #1881383867 in Plainview, New York

Provider Information

NPI Number: 1881383867
Entity Type: Individual
Name: Lisa Marchello
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: May 4, 2023
Last Updated: May 4, 2023

Practice Location

Address: 203 CENTRAL PARK RD
City: Plainview
State: New York
ZIP Code: 11803-2003
Phone: (516) 459-6532

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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