Individual
LUICO HALLMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 ASHLEY AVE, MIDDLETOWN, NY 10940-1912
(845) 326-8013
(845) 326-8155
Mailing address
45 ASHLEY AVE, MIDDLETOWN, NY 10940-1912
(845) 326-8013
(845) 326-8155
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
496755
NY
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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