Provider Demographics
NPI:1750278016
Name:LUCIANO, LINDA
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:LUCIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 NEW ST APT 1
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-3526
Mailing Address - Country:US
Mailing Address - Phone:914-500-5002
Mailing Address - Fax:
Practice Address - Street 1:37 NEW ST APT 1
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-3526
Practice Address - Country:US
Practice Address - Phone:914-500-5002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist