Individual
CYNTHIA PILAR LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22638 MANOR RD, QUEENS VILLAGE, NY 11427-2103
(718) 506-2490
Mailing address
226-38 MANOR ROAD, QUEENS VILLAGE, NY 11427
(718) 506-2490
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1256570
NY
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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