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Lisa Megan Magliulo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as LISA MAGLIULO.

Based on the most recent information from CMS, provider Lisa Megan Magliulo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1457752479
Provider Type
Individual
Full Name
Magliulo, Lisa Megan
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2014
Last Updated
5/31/2024

Contact Information

Practice Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-3103

Unlisted Fax

Mailing Location

100 Woods Rd, Valhalla, NY 10595-1530

(914) 493-3103

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F354088-01 New York
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 689228-1 New York

Lisa Megan Magliulo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kola, Antoneta

Smyth, Emily

Kohrs, Deborah Ann

Wong, Mary Lynn

Oppedisano, Melody Hope

Raimo, Michelle L.

Kelly, Deborah

Stanley, Dawn Z

Sebastian, Demy Ann

Alleva, Jacqueline