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1023786597
MICHAELA LYNN LOMELO
WEST ISLIP, NY
NPI
1023786597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 027909)
Enumeration Date
2021-08-31
Last Update Date
2022-06-03
Business Address
MICHAELA LYNN LOMELO
500 MONTAUK HWY
WEST ISLIP, NY 11795-4418
Phone number: 631-422-9100
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Mailing Address
MICHAELA LYNN LOMELO
14 GRADUATE CT
EAST SETAUKET, NY 11733-1080
Phone number:
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