NPI 1023786597

Michaela Lynn Lomelo

Practitioner Physician Assistant West Islip, NY

Practice location

Address: 500 Montauk Hwy, West Islip, NY 11795-4418
Phone: (631) 422-9100
Mailing address: 14 Graduate CT, East Setauket, NY 11733-1080

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 027909 (NY)

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Registry record

NPI: 1023786597
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2021
Record last updated: 3 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.