Individual
MR. GIOVANNI LUCA KUBANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 SCOTT CT, FORT SALONGA, NY 11768-1460
(516) 376-7898
Mailing address
6 SCOTT CT, FORT SALONGA, NY 11768-1460
(516) 376-7898
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5163767898
OTHER
—
Enumeration date
08/07/2021
Last updated
08/07/2021
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