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Individual

LINDA LUKASCHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1325 BRENTWOOD RD, BAY SHORE, NY 11706-5704
(665) 631-4960
Mailing address
18 BARNES ST, PATCHOGUE, NY 11772-3204
(631) 627-0589

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
007703-1
NY

Other

Enumeration date
07/03/2019
Last updated
07/03/2019
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