Individual
MISS CAROLE PEYRA LUZENTALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED/SPED
Contact information
Practice address
37-11 35TH AVENUE, 3C AND 3G, ASTORIA, NY 11101
(718) 706-7500
(718) 706-9595
Mailing address
6956 CALDWELL AVE, 2ND FLOOR, MASPETH, NY 11378-2636
(347) 285-5789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1920812
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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