Provider Demographics
NPI:1821878083
Name:PISCIOTTA, LISA FRANCES
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:FRANCES
Last Name:PISCIOTTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:FRANCES
Other - Last Name:LEONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 LORDLY CT
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-3818
Mailing Address - Country:US
Mailing Address - Phone:631-416-9064
Mailing Address - Fax:
Practice Address - Street 1:33 HIGH OAK CT
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4259
Practice Address - Country:US
Practice Address - Phone:516-375-7750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator