MS. Berenisis Lombert, MS SPC. EDU

NPI #1609131002 in Mastic Beach, New York

Provider Information

NPI Number: 1609131002
Entity Type: Individual
Name: MS. Berenisis Lombert, MS SPC. EDU
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS SPC. EDU
Enumeration Date: Jul 11, 2012
Last Updated: Jul 11, 2012

Practice Location

Address: 218 WAVECREST DR
City: Mastic Beach
State: New York
ZIP Code: 11951-1502
Phone: (631) 721-8595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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