Individual
LUSIANA KOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN
Contact information
Practice address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
Mailing address
14202 20TH AVE, FLUSHING, NY 11351-3000
(917) 563-3350
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
007597
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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