Individual
MRS. ARLENE MARIE LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3418 106TH ST, CORONA, NY 11368-1230
(917) 807-6199
Mailing address
3418 106TH ST, CORONA, NY 11368-1230
(917) 807-6199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031482
NY
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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