DOMINIQUE M LANZA

RONKONKOMA, NY
NPI1487378915
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  1654428221)
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
DOMINIQUE M LANZA
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4001
Mailing Address
DOMINIQUE M LANZA
90 AIR PARK DR
RONKONKOMA, NY 11779-7360
Phone number: 631-580-4001
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