Individual
EMILY DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 LEO CT, POUGHQUAG, NY 12570-5407
(845) 380-6729
Mailing address
24 LEO CT, POUGHQUAG, NY 12570-5407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008788-01
NY
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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