Individual
MS. BERENISIS LOMBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SPC. EDU
Contact information
Practice address
218 WAVECREST DR, MASTIC BEACH, NY 11951-1502
(631) 721-8595
Mailing address
218 WAVECREST DR, MASTIC BEACH, NY 11951-1502
(631) 721-8595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SPEC EDU
NY
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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