Provider Demographics
NPI:1710596143
Name:LAMBADIS, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LAMBADIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 SOUTHVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-2239
Mailing Address - Country:US
Mailing Address - Phone:631-972-3941
Mailing Address - Fax:
Practice Address - Street 1:40 SOUTHVIEW CIR
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-2239
Practice Address - Country:US
Practice Address - Phone:631-972-3941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-31
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program