Provider Demographics
NPI:1407441892
Name:LUSKY CORP
Entity Type:Organization
Organization Name:LUSKY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURO
Authorized Official - Middle Name:MATTEO
Authorized Official - Last Name:SPINI
Authorized Official - Suffix:
Authorized Official - Credentials:PC
Authorized Official - Phone:201-302-9993
Mailing Address - Street 1:1600 PARKER AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-7050
Mailing Address - Country:US
Mailing Address - Phone:201-302-9993
Mailing Address - Fax:201-302-9994
Practice Address - Street 1:1600 PARKER AVE STE 1
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7050
Practice Address - Country:US
Practice Address - Phone:201-302-9993
Practice Address - Fax:201-302-9994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty