Catherine Elizabeth Bongo-Liselli
Specialist in Hauppauge, NY. Individual provider (NPI-1).
NPI number1740165950
StatusActive
Last updated in NPPESAug 7, 2025
Details
- NPI
- 1740165950
- Entity type
- Individual (NPI-1)
- Name
- Catherine Elizabeth Bongo-Liselli
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2025
- Certification date
- Aug 7, 2025
- Last updated
- Aug 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1363 Veterans Memorial Hwy Ste 8Hauppauge, NY 11788-3046
Phone 631-366-3898
Mailing address
1363 Veterans Memorial Hwy Ste 8Hauppauge, NY 11788-3046
Phone 631-366-3898
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