Individual
KRISTEN LUCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 7TH AVE E, EAST NORTHPORT, NY 11731-2411
(516) 361-0597
Mailing address
13 7TH AVE E, EAST NORTHPORT, NY 11731-2411
(516) 361-0597
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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