Individual
MRS. CHRISTINA COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 LONGSTREET DR, LAKE GROVE, NY 11755-2315
(631) 662-7994
Mailing address
18 LONGSTREET DR, LAKE GROVE, NY 11755-2315
(631) 662-7994
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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