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

Isabella Loccisano

Individual provider Specialist · NPI 1467375691

Isabella Loccisano is a Specialist in Lake Grove, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

58 Walnut St
Lake Grove, NY 11755-2908
Phone: (774) 722-0385
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1467375691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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