Healthcare Provider Details

I. General information

NPI: 1033025259
Provider Name (Legal Business Name): LUMINA NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 MAIN ST SUITE 1061
NEW ROCHELLE NY
10801-7101
US

IV. Provider business mailing address

669 MAIN ST
NEW ROCHELLE NY
10801-7101
US

V. Phone/Fax

Practice location:
  • Phone: 914-295-2627
  • Fax:
Mailing address:
  • Phone: 914-295-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA SINISCALCHI
Title or Position: MANAGING MEMBER
Credential: MSN, FNP-BC
Phone: 914-295-2627