Individual
JONATHAN A LULOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
530 W 45TH ST, NEW YORK, NY 10036-3697
(917) 992-6576
Mailing address
530 W 45TH ST, NEW YORK, NY 10036-3697
(917) 992-6576
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8682700
NY
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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