# DR. JEFFREY V LUCIDO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1568428977
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004115 | NY | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 02/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000043663 | GHI HMO | — |
| 01 | — | 0014397 | GHI | — |
| 05 | — | 00968401 | — | NY |
| 01 | — | 030004115NY01 | ANTHEM | — |
| 01 | — | 113055137 | AETNA | — |
| 01 | — | 163636 | ELDERPLAN | — |
| 01 | — | 1C5680 | PHS | — |
| 01 | — | 259850201 | HEALTHPLUS | — |
| 01 | — | P43111 | EMPIRE BC BS | — |
| 01 | — | P746188 | OXFORD | — |