Individual
MARY T LUVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 TODD HILL RD, LAGRANGEVILLE, NY 12540-5916
(845) 483-3910
Mailing address
144 TODD HILL RD, LAGRANGEVILLE, NY 12540-5916
(845) 483-3910
(845) 350-4051
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
259662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253100000X
—
NY
Enumeration date
04/06/2018
Last updated
04/06/2018
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