Individual provider · Type 1 NPI

Catherine Elizabeth Bongo-Liselli

Specialist · Hauppauge, NY

NPI number 1740165950 Active

Practice location

1363 Veterans Memorial Hwy Ste 8
Hauppauge, NY 11788-3046

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740165950

Catherine Elizabeth Bongo-Liselli's National Provider Identifier is 1740165950, issued on Aug 7, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hauppauge, NY. The record was last updated on Aug 7, 2025.