Individual
PETER WILSON LUCIANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
121 DUNNING RD, MIDDLETOWN, NY 10940-2243
(845) 343-0801
Mailing address
12 OLD CROSS RD, WARWICK, NY 10990-2905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002663-1
NY
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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