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

Tia Trivisonno, LAC

Individual provider Acupuncturist · NPI 1538442256

Tia Trivisonno, LAC is an Acupuncturist in Glen Head, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

997 Glen Cove Ave
Glen Head, NY 11545-1593
Phone: (516) 801-1405
Fax: (516) 759-5946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 004667 (NY)

Record details

NPI number1538442256
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedSeptember 20, 2011
Last updated in NPPESSeptember 20, 2011

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