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

Roxane Lacy, MD

Individual provider Pediatrics Physician · NPI 1457402802

Roxane Lacy, MD is a Pediatrics Physician in Central Islip, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

45 W Suffolk Ave Fl 2
Central Islip, NY 11722-2156
Phone: (631) 582-4858
Fax: (631) 582-4881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 225654-1 (NY)

Record details

NPI number1457402802
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2007
Last updated in NPPESMarch 1, 2013
Mailing address45 W Suffolk Ave Fl 2, Central Islip, NY 11722-2156

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