Individual
HANNAH PARK-LUSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, HHA, PCA
Contact information
Practice address
777 HASTINGS ST, BALDWIN, NY 11510-4534
(516) 428-1183
Mailing address
777 HASTINGS ST, BALDWIN, NY 11510-4534
(516) 428-1183
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
343488061013E
NY
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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