SearchNew York101YA0400X

Luke Ellenberg, C.A.S.A.C

NPI 1770896128 · on the registry since 2010 · sole proprietor

Practice

Address
134 Haven Ave Apt 1e
New York, NY 10032
Phone
(718) 869-1086
Clinicians at this address
3

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-14

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