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Individual

REA MAECA LURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
2432 GRAND CONCOURSE, BRONX, NY 10458-5204
(718) 551-0202
(718) 551-0202
Mailing address
124 E 117TH ST APT 3J, NEW YORK, NY 10035-4600
(757) 291-1289

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
049926
NY

Other

Enumeration date
02/15/2023
Last updated
02/05/2026
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