Lisa Marie Guccione, PTA is a 
Physical Medicine & Rehabilitation physician based in Canton, New York. Lisa Marie Guccione is licensed to practice in New York (license number 0053414) and her current practice location is 4 Commerce Lane, Canton, New York. She can be reached at her office (for appointments etc.) via phone at 
(315) 386-8191.
NPI number for Lisa Marie Guccione is 1821058454 and her current mailing address is 4 Commerce Lane, Canton, New York. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821058454.
			
			
			
			
			
		
		 
Physician's Profile
		
			
			
			| Full Name | Lisa Marie Guccione | 
|---|
| Gender | Female | 
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| Speciality | Physical Medicine & Rehabilitation | 
|---|
| Location | 4 Commerce Lane, Canton, New York | 
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1821058454
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 07/08/2007
 
		 
		 
Medical Identifiers
		Medical identifiers for Lisa Marie Guccione such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1821058454 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208100000X | Physical Medicine & Rehabilitation | 0053414 (New York) | Primary | 
		
		
			
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Guccione is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Lisa Marie Guccione, PTA 4 Commerce Lane,
 Canton, NY 13617
 Ph: (315) 386-8191
 | Lisa Marie Guccione, PTA 4 Commerce Lane,
 Canton, NY 13617
 Ph: (315) 386-8191
 | 
		
		 
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