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NPI Code Detail

MEDICARE: JONATHAN LUCCHITTI PT, DPT

MEDICARE: JONATHAN LUCCHITTI PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist052996NY

General Provider Information

NPI Number : 1518784214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LUCCHITTI PT, DPT
Provider Business Mailing Address
First Line : 31 E 32ND ST FL 4
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5595
Country : US
Telephone Number : 212-759-2282
Fax Number : 212-379-2123
Provider Business Practice Location Address
First Line : 1157 3RD AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6039
Country : US
Telephone Number : 646-222-9360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2024
Last Update Date : 09/24/2024

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