Organization
GOOD LUCK TR.INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL VERNIKOV (PRESIDENT)
(646) 637-8001
Entity
Organization
Contact information
Practice address
11 OCEAN CT, BROOKLYN, NY 11223-6045
(646) 637-8001
Mailing address
11 OCEAN CT, BROOKLYN, NY 11223-6045
(646) 637-8001
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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