Individual
LISA PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70 COLONIAL ST, EAST NORTHPORT, NY 11731-6103
(631) 459-1489
Mailing address
70 COLONIAL ST, EAST NORTHPORT, NY 11731-6103
(631) 459-1489
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007070
NY
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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