Most Relevant Information
Provider Data
| NPI Number: | 1003369281 |
| Provider Name: | CHRISTINA COLOMBO |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2016 |
| Last Updated: | 07/25/2016 |
Provider Practice Location
18 LONGSTREET DR
LAKE GROVE
NY
117552315
Practice Location Phone/Fax
| Phone: | 6316627994 |
| Fax: |
Provider Mailing Location
18 LONGSTREET DR
LAKE GROVE
NY
117552315
Provider Mailing Phone/Fax
| Phone: | 6316627994 |
| Fax: |