| Doctor Name: | JEANETTE LUCIANO |
| NPI Number: | 1104078930 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 074299-1 |
| Business Practice Address: | 19 West 34th Street Ph New York City, NY - 100013006 |
| Business Phone Number: | 3476222175 |
| Business Fax Number: | |
| Mailing Address: | 8333 118th Street, #2l KEW GARDENS |
| State: | NY |
| Postal Code: | 114152337 |
| Phone Number: | 3476222175 |
| Fax Number: | |
| NPI Enumeration Date: | 10/10/2008 |
| NPI Last Update Date: | 10/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 074299-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |