Individual
MS. LISA SIRACUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
305 SEGUINE AVE, SUITE TWO, STATEN ISLAND, NY 10309-3730
(718) 966-7009
(718) 948-7514
Mailing address
305 SEGUINE AVE, SUITE TWO, STATEN ISLAND, NY 10309-3730
(718) 966-7009
(718) 948-7514
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
004641
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00315900
NJ
Other
Enumeration date
08/12/2008
Last updated
01/29/2026
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