Healthcare Provider Details

I. General information

NPI: 1144145855
Provider Name (Legal Business Name): LILY ALESSANDRA BILELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 UNION BLVD STE 1
ISLIP NY
11751-3172
US

IV. Provider business mailing address

8 DONCASTER AVE
WEST ISLIP NY
11795-1219
US

V. Phone/Fax

Practice location:
  • Phone: 631-377-7000
  • Fax:
Mailing address:
  • Phone: 631-875-9889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: