Individual
MR. LUIS MANUEL ANTONIO I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5062
(914) 925-5062
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5062
(914) 925-5062
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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