Individual
GINA LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 PARK AVE, WANTAGH, NY 11793-3707
(516) 697-7109
Mailing address
3940 HICKORY ST, SEAFORD, NY 11783-2604
(917) 440-9565
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009622
NY
225700000X
Massage Therapist
Primary
008822-1
NY
Other
Enumeration date
04/28/2016
Last updated
01/30/2018
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