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Search › New York › Early Intervention Provider Agency

Shannon Lukasik

NPI 1134472293 · on the registry since 2012 · sole proprietor

Practice

Address
860 Old Nichols Rd
Islandia, NY 11749
Phone
(631) 664-0786

Registry record

Primary taxonomy
Early Intervention Provider Agency
252Y00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York