PETER WILSON LUCIANO

MIDDLETOWN, NY
NPI1063625895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  002663-1)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
-- PETER WILSON LUCIANO PTA
121 DUNNING RD
MIDDLETOWN, NY 10940-2243
Phone number: 845-343-0801
Mailing Address
-- PETER WILSON LUCIANO PTA
12 OLD CROSS RD
WARWICK, NY 10990-2905
Phone number: