Individual
ELLIOTT LUTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
530 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2140
(201) 523-9207
(201) 523-9208
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01683800
NJ
Other
Enumeration date
09/06/2016
Last updated
01/14/2020
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