Provider Demographics
NPI:1053062653
Name:LOMBARDO, CHRIS II
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:LOMBARDO
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 DEVON FARMS RD
Mailing Address - Street 2:
Mailing Address - City:STORMVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12582-5244
Mailing Address - Country:US
Mailing Address - Phone:845-226-2569
Mailing Address - Fax:
Practice Address - Street 1:380 DEVON FARMS RD
Practice Address - Street 2:
Practice Address - City:STORMVILLE
Practice Address - State:NY
Practice Address - Zip Code:12582-5244
Practice Address - Country:US
Practice Address - Phone:845-702-2127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer