Individual
ELIZABETH LOCCISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1401 MASSACHUSETTS AVE, TROY, NY 12180-1621
(518) 268-5242
(518) 268-5480
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
350462
NY
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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