MEDICARE: DR. ERNESTO LOMBARDI D.C.

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	111N00000X	Chiropractor	X009959-1	NY

General Provider Information

NPI Number	:	1679663298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERNESTO LOMBARDI D.C.

Provider Business Mailing Address
First Line	:	811 N BROADWAY
Second Line	:	SUITE 205
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2400
Country	:	US
Telephone Number	:	914-997-2515
Fax Number	:	914-997-1016

Provider Business Practice Location Address
First Line	:	811 N BROADWAY
Second Line	:	SUITE 205
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2400
Country	:	US
Telephone Number	:	914-997-2515
Fax Number	:	914-997-1016

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

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	09/27/2007

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