Individual
MS. MARIA LISA PALLOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
(718) 283-8261
Mailing address
138 OGORMAN AVE, STATEN ISLAND, NY 10306-3737
(718) 987-9445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006675
NY
363AS0400X
Surgical Physician Assistant
Primary
006675
NY
Other
Enumeration date
03/23/2007
Last updated
03/17/2026
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