Individual
JUSTIN LOBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
79 MIDDLEVILLE RD, BUILDING 7, ROOM 106C, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
22 UDELL WAY, EAST NORTHPORT, NY 11731-3714
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P99425
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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