MEDICARE: COLORFUL HANDS

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
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1851188429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORFUL HANDS

Provider Business Mailing Address
First Line	:	120 CO OP CITY BLVD APT 7F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-3828
Country	:	US
Telephone Number	:	646-764-9094
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 CO OP CITY BLVD APT 7F
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-3828
Country	:	US
Telephone Number	:	646-764-9094
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ASONTE WASHINGTON LUCHER
Credential	:
Telephone Number	:	646-764-9094

Provider Enumeration Date	:	04/24/2025
Last Update Date	:	04/24/2025

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Directions to “COLORFUL HANDS ” Practice Location

Language	Start Address	Practice Location

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