Individual
ADALIS LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 COURT ST STE 1217, BROOKLYN, NY 11201-4410
(347) 970-2188
Mailing address
13705 83RD AVE APT 4K, JAMAICA, NY 11435-1521
(917) 254-0425
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2515923
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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