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

Jessica Lazio

Individual provider Specialist · NPI 1962280164

Jessica Lazio is a Specialist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

339 Brendan Ave
Massapequa, NY 11758-6124
Phone: (516) 652-5916
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2531470 (NY)

Record details

NPI number1962280164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023
Mailing address339 Brendan Ave, Massapequa, NY 11758-6124

Other providers in Massapequa