LISA CROCCO

Specialist

Active Individual
NPI: 1255100772

Practice Address

299 HALLOCK AVE
Port Jefferson Station, NY 11776

Phone: (631) 473-4284

Specialties

Specialty Code Primary License
Specialist 174400000X Yes -

Frequently Asked Questions

NPI 1255100772 is the National Provider Identifier for LISA CROCCO, a Specialist provider located in Port Jefferson Station, NY. This NPI was enumerated on December 26, 2023.
LISA CROCCO practices at 299 HALLOCK AVE, Port Jefferson Station, NY 11776.

Quick Facts

NPI
1255100772
Type
Individual
Enumerated
Dec 26, 2023
Last Updated
Dec 26, 2023

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