Individual
MR. CHARLES ANGELO LUISI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 BUTTERMILK DR, NEW WINDSOR, NY 12553-8012
(845) 784-4382
Mailing address
10 BUTTERMILK DR, NEW WINDSOR, NY 12553-8012
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
567021
NY
Other
Enumeration date
10/12/2010
Last updated
10/12/2010
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