Individual
CATHERINE ELIZABETH BONGO-LISELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788-3046
(631) 366-3898
Mailing address
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788-3046
(631) 366-3898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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