Individual
MRS. ANDREA E NOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 HAWKINS AVE, RONKONKOMA, NY 11779-2293
(631) 588-0880
(631) 588-0391
Mailing address
709 HAWKINS AVE, RONKONKOMA, NY 11779-2293
(631) 588-0880
(631) 588-0391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
198213
NY
Other
Enumeration date
10/25/2006
Last updated
05/25/2011
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