Individual
LUSI HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2400
Mailing address
79 LAYTON RD, SUSSEX, NJ 07461-3311
(917) 807-9984
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009898
NY
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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