NPI 1184050221
Randi Luckman, MSCPCCHCCM
Practice location
- Address
- 750 Kappock St #1015, Bronx, NY 10463-4612
- Phone
- (917) 763-4111
- Mailing address
- 750 Kappock St # 1015, Bronx, NY 10463-4612
Registered specialties (2)
Nutrition Education Nutritionist
Primary
Nutritionist
Registry record
- NPI
- 1184050221
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Sep 2013
- Record last updated
- 20 Sep 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.