Individual
GIANNA LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S BROADWAY, YONKERS, NY 10701-4006
(914) 378-7848
Mailing address
146 CRESCENT PL, YONKERS, NY 10704-1721
(917) 204-6743
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
063340
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
11/22/2023
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