Individual
MRS. LISA M GAUDIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS, MS ED
Contact information
Practice address
125 TRUMAN PL, CENTERPORT, NY 11721-1339
(631) 569-0094
Mailing address
125 TRUMAN PL, CENTERPORT, NY 11721-1339
(631) 569-0094
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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