Individual
MR. MIGUEL LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1515 SOUTHERN BLVD, BRONX, NY 10460-5980
(718) 589-1600
Mailing address
3164 30TH ST APT 31, LONG ISLAND CITY, NY 11106-2859
(718) 545-8782
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
002002
NY
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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