Provider Demographics
NPI:1386002111
Name:LUGO, FRANKLYN (RRT, AE-C)
Entity Type:Individual
Prefix:
First Name:FRANKLYN
Middle Name:
Last Name:LUGO
Suffix:
Gender:M
Credentials:RRT, AE-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 HILLMAN AVE
Mailing Address - Street 2:C1
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:199 MOUNT EDEN PKWY
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7703
Practice Address - Country:US
Practice Address - Phone:347-421-3158
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009266227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered