Healthcare Provider Details

I. General information

NPI: 1083529267
Provider Name (Legal Business Name): LUCA PRISCO LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LONG POND RD
GREECE NY
14626-1177
US

IV. Provider business mailing address

1100 LONG POND RD
GREECE NY
14626-1177
US

V. Phone/Fax

Practice location:
  • Phone: 585-385-6030
  • Fax:
Mailing address:
  • Phone: 585-385-6030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP144266
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: