Provider Demographics
NPI:1568244804
Name:STECCATO, LISA JOANNA (CPNP-PC)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:JOANNA
Last Name:STECCATO
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:123 S CONGER AVE
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-2205
Mailing Address - Country:US
Mailing Address - Phone:914-282-3446
Mailing Address - Fax:
Practice Address - Street 1:7 POPHAM RD STE 3
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3782
Practice Address - Country:US
Practice Address - Phone:914-725-0800
Practice Address - Fax:914-722-4501
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY383658363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics