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NPI Code Detail

MEDICARE: DEAN LOMBARDO CHIROPRACTIC AND NUTRITIONIST PC

MEDICARE: DEAN LOMBARDO CHIROPRACTIC AND NUTRITIONIST PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX006509NY
2133N00000XNutritionist003726NY

General Provider Information

NPI Number : 1164721205
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEAN LOMBARDO CHIROPRACTIC AND NUTRITIONIST PC
Provider Business Mailing Address
First Line : 752 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-3900
Country : US
Telephone Number : 631-385-0207
Fax Number : 631-385-1272
Provider Business Practice Location Address
First Line : 752 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-3900
Country : US
Telephone Number : 631-385-0207
Fax Number : 631-385-1272
Authorized Official
Title or Position : CHIROPRACTOR/NUTRITIONIST
Name : DR. DEAN LOMBARDO
Credential : DC, CDN
Telephone Number : 631-385-0207
Provider Enumeration Date : 03/15/2011
Last Update Date : 05/10/2011

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Directions to “DEAN LOMBARDO CHIROPRACTIC AND NUTRITIONIST PC ” Practice Location

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