Provider Demographics
NPI:1013992288
Name:LOMINY, MARIE-MICHELINE (MD)
Entity Type:Individual
Prefix:
First Name:MARIE-MICHELINE
Middle Name:
Last Name:LOMINY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-0381
Mailing Address - Country:US
Mailing Address - Phone:914-664-4545
Mailing Address - Fax:914-664-0893
Practice Address - Street 1:559 GRAMATAN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2155
Practice Address - Country:US
Practice Address - Phone:914-663-0151
Practice Address - Fax:914-663-0154
Is Sole Proprietor?:No
Enumeration Date:2005-12-10
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237654208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics