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Organization
JEFFREY V LUCIDO DPM, PC
Active
Organization
JEFFREY V LUCIDO DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY V LUCIDO DPM (OWNER)
(718) 745-3800
Entity
Organization
Contact information
Practice address
441 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-3800
(718) 745-8999
Mailing address
441 77TH ST, BROOKLYN, NY 11209-3205
(718) 745-3800
(718) 745-8999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968401
—
NY
01
—
259850201
HEALTH CARE PLUS
NY
01
—
36833P
HIP
—
01
—
P746188
OXFORD
NY
Enumeration date
11/08/2011
Last updated
11/08/2011
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