Massiel Lugo

NPI #1497399240 in Woodside, New York

Provider Information

NPI Number: 1497399240
Entity Type: Individual
Name: Massiel Lugo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 5, 2019
Last Updated: Nov 5, 2019

Practice Location

Address: 4277 65TH PL
City: Woodside
State: New York
ZIP Code: 11377-5054
Phone: (718) 429-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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