MEDICARE: MS. JUDITH ELLEN LUONGO L.P., LCAT

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	102L00000X	Psychoanalyst	000447	NY

General Provider Information

NPI Number	:	1952258592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH ELLEN LUONGO L.P., LCAT

Provider Business Mailing Address
First Line	:	44 BUTLER PL APT 4J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5150
Country	:	US
Telephone Number	:	718-623-1903
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 BUTLER PL APT 4J
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-5150
Country	:	US
Telephone Number	:	718-623-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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