Individual
MR. JEAN PHILIPPE LUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
410 LOCUS AVE, UNIONDALE, NY 11553
(516) 445-5588
Mailing address
410 LOCUS AVE, UNIONDALE, NY 11553
(516) 445-5588
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401415-1
NY
Other
Enumeration date
08/07/2008
Last updated
01/30/2012
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