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1053873893
VIDAL EVAN LUCHANA
HUNTINGTON, NY
NPI
1053873893
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Other Name
VIDAL EVAN LUCHANA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-01
Last Update Date
2024-06-18
Business Address
Dr. VIDAL EVAN LUCHANA DO
120 NEW YORK AVE STE 4W
HUNTINGTON, NY 11743-2743
Phone number: 631-423-9809
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Mailing Address
Dr. VIDAL EVAN LUCHANA DO
5636 MAIN ST FL 2
FLUSHING, NY 11355-5046
Phone number: 718-670-1347
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