Individual
SAMENTHA LUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 CONEY ISLAND AVE, BROOKLYN, NY 11223-2328
(917) 723-0687
Mailing address
1102 E 81ST ST, BROOKLYN, NY 11236-4741
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
046734
NY
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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