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

Lisa Marie Pellegrino

Individual provider Specialist · NPI 1265203376

Lisa Marie Pellegrino is a Specialist in West Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

863 Tanglewood Rd
West Islip, NY 11795-3540
Phone: (702) 506-1062
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1265203376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2024
Last updated in NPPESJanuary 14, 2024
Certification dateJanuary 14, 2024

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