Organization Name: | LUCE RESPIRATORY THERAPY PLLC |
NPI Number: | 1104213628 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTINY ST JUSTE (C.E.O.) |
Mailing Address: | 139 N 17th St Wheatley Heights |
State: | NY US |
Postal Code: | 117981816 |
Phone Number: | 6318800961 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2015 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 004163 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |