MEDICARE: JOSEPH M LOMBARDO MD

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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	25MA04569300	NJ
2	174400000X	Specialist	255714	NY

General Provider Information

NPI Number	:	1679501167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH M LOMBARDO MD

Provider Business Mailing Address
First Line	:	95 GRASSLANDS RD
Second Line	:
City	:	VALHALLA
State	:	NY
Zip	:	10595-1652
Country	:	US
Telephone Number	:	914-493-7389
Fax Number	:	914-493-5742

Provider Business Practice Location Address
First Line	:	95 GRASSLANDS RD
Second Line	:
City	:	VALHALLA
State	:	NY
Zip	:	10595-1652
Country	:	US
Telephone Number	:	914-493-7389
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	02/22/2010

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