Individual
LUTHER CARLETON ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5676 RIVERDALE AVE, BRONX, NY 10471-2138
(718) 796-5300
Mailing address
5737 FARADAY AVE APT 2, BRONX, NY 10471-2201
(347) 326-6757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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