Individual
LISA STEFANIE MOCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
680 WHITE PLAINS RD, SCARSDALE, NY 10583-5042
(888) 663-6331
Mailing address
680 WHITE PLAINS RD, SCARSDALE, NY 10583-5042
(888) 663-6331
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302852-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02919166
—
NY
Enumeration date
03/25/2007
Last updated
11/14/2022
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