# 84 STREET MEDICAL PC

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

## Provider details

- **NPI number:** 1780093153
- **Authorized official:** DR. LUCOT CHERENFANT M.D. (DOCTOR)
- **Authorized official phone:** (718) 507-0300

## Contact information

- **Practice address:** 3559 84TH ST, JACKSON HEIGHTS, NY 11372-5367
- **Practice address phone:** (718) 507-0300
- **Practice address fax:** (718) 507-0330
- **Mailing address:** 1324 E 53RD ST, BROOKLYN, NY 11234-2312
- **Mailing address phone:** (917) 331-8817
- **Mailing address fax:** (718) 507-0330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 244586 | NY | Yes |

## Other

- **Enumeration date:** 08/10/2014
- **Last updated:** 08/10/2014