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Organization
LUMINA DR G MEDICAL PLLC
Active
Organization
LUMINA DR G MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR J GUADAGNINO (MEDICAL DIRECTOR)
(516) 817-7093
Entity
Organization
Contact information
Practice address
8120 15TH AVE, BROOKLYN, NY 11228-3120
(718) 331-2897
Mailing address
15 LORD AVE STE 1, LAWRENCE, NY 11559-1321
(516) 817-7093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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