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Individual

BELLO LAMADIEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RRT

Contact information

Practice address
935 BALFOUR ST, VALLEY STREAM, NY 11580-1528
(516) 850-7516
Mailing address
935 BALFOUR ST, VALLEY STREAM, NY 11580-1528
(516) 850-7516

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85-4018917
NYS
NY
05
85-4018917
NY
Enumeration date
12/28/2021
Last updated
12/28/2021
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