Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bliss Nicole Lanzelotti, PA-C

Individual provider Surgical Physician Assistant · NPI 1114499787

Bliss Nicole Lanzelotti, PA-C is a Surgical Physician Assistant in East Northport, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

161 Daly Rd
East Northport, NY 11731-6335
Phone: (516) 581-0395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 023091 (NY)

Record details

NPI number1114499787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESDecember 20, 2018

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