Elizabeth Mambondimumwe, RPT

NPI #1205058088 in Newburgh, New York

Provider Information

NPI Number: 1205058088
Entity Type: Individual
Name: Elizabeth Mambondimumwe, RPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: RPT
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1607 ROUTE 300
Address 2: SUITE 102
City: Newburgh
State: New York
ZIP Code: 12550-1738
Phone: (845) 564-9853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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