Individual
CARRIE LUONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 N QUEENS AVE, MASSAPEQUA, NY 11758-3008
(516) 851-3920
Mailing address
95 N QUEENS AVE, MASSAPEQUA, NY 11758-6109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025310-1
NY
Other
Enumeration date
05/21/2009
Last updated
09/09/2020
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