Individual
MARIA LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HAVEN AVE. 4-M, NEW YORK, NY 10033
(917) 687-2968
Mailing address
200 HAVEN AVE APT 4M, NEW YORK, NY 10033-5307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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