Lisa Trentino, PA
Physician Assistant in West Islip, NY. Individual provider (NPI-1).
NPI number1003385352
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1003385352
- Entity type
- Individual (NPI-1)
- Name
- Lisa Trentino
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2018
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 022979 | NY | Yes |
Practice location
400 Montauk Hwy Ste 102West Islip, NY 11795-4429
Phone 631-533-2723 · Fax 631-257-0850
Mailing address
400 Montauk Hwy Ste 102West Islip, NY 11795-4429
Phone 631-533-2723 · Fax 631-257-0850
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All 116 Physician Assistant providers in West Islip · All 1,338 providers in West Islip
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