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Organization
MOCOMBE LUCIEN D MD PC
Active
Organization
MOCOMBE LUCIEN D MD PC
Active
Other names
LUCIEN D MOCOMBE MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIEN D MOCOMBE MD (PRESIDENT)
(718) 859-2525
Entity
Organization
Contact information
Practice address
3016 GLENWOOD RD, BROOKLYN, NY 11210-2642
(718) 859-2525
(718) 859-8852
Mailing address
3016 GLENWOOD RD, BROOKLYN, NY 11210-2642
(718) 859-2525
(718) 859-8852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
183811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183811
—
NY
01
—
WEK 391
MEDICARE
—
Enumeration date
10/09/2007
Last updated
10/14/2007
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