Doctor Name: | DR. BIASE LOMBARDI |
NPI Number: | 1366572976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 083797 |
Business Practice Address: | 4604 31st Ave Long Island City, NY - 111031842 |
Business Phone Number: | 7185452100 |
Business Fax Number: | 7185451900 |
Mailing Address: | 2202 Steinway St, ASTORIA |
State: | NY |
Postal Code: | 111051836 |
Phone Number: | 7184230808 |
Fax Number: | 7182046866 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 083797 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |