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Individual

LEA BELLOMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4601 N FEDERAL HWY, BOCA RATON, FL 33431-5133
(561) 462-4808
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 848-8840
(914) 848-8629

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
293604
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05210999
NY
Enumeration date
04/02/2014
Last updated
06/05/2024
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