LUC LANDRY SUMO KOUATCHO

STATEN ISLAND, NY
NPI1366331027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
LUC LANDRY SUMO KOUATCHO
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1645
Mailing Address
LUC LANDRY SUMO KOUATCHO
288 KISSEL AVE APT 2D
STATEN ISLAND, NY 10310-1636
Phone number: 240-491-1319