Individual
HENRY LUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000520-1
NY
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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