Individual
BRIAN JOSEPH DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CSCS
Contact information
Practice address
4 CENTRE DR, ORCHARD PARK, NY 14127-4117
(716) 829-5648
(716) 829-3514
Mailing address
3435 MAIN ST, HAYES A, BUFFALO, NY 14214-3001
(716) 829-5648
(716) 829-3514
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
021529
NY
2251X0800X
Orthopedic Physical Therapist
Primary
021529
NY
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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