Pastori, Luciano Juan
Pastori, Luciano Juan is an individual health care provider with primary practice located at 10211 Roosevelt Ave Suite 4, Corona NY 11368-2331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Pastori, Luciano Juan can be contacted via phone (718) 898-1386.Contact Information
Primary practice address
10211 Roosevelt Ave Suite 4
Corona NY 11368-2331
Phone: (718) 898-1386
Fax: (718) 898-3673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 273508 | New York |
Profile Details
| NPI number | 1417206079 |
|---|---|
| LBN Legal business name | Pastori, Luciano Juan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Mar 31st, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417206079 | NPPES |
| New York | MEDICAID | 03967508 |
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