# SUSAN L LUCAK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528356839
- **Authorized official:** SUSAN L LUCAK MD (PRESIDENT)
- **Authorized official phone:** (212) 861-0481

## Contact information

- **Practice address:** 903 PARK AVE, LOWER LEVEL, NEW YORK, NY 10075-0338
- **Practice address phone:** (212) 861-0481
- **Practice address fax:** (914) 346-5176
- **Mailing address:** 903 PARK AVE, FIRST FLOOR, NEW YORK, NY 10075-0338
- **Mailing address phone:** (212) 861-0481
- **Mailing address fax:** (914) 346-5176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 154388 | NY | Yes |

## Other

- **Enumeration date:** 07/20/2011
- **Last updated:** 04/25/2013