Individual
MR. BIJU PHILIP LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
470 MONTAUK HWY, EAST HAMPTON, NY 11937-2648
(631) 329-5900
(631) 329-0127
Mailing address
57 HAMPTON RD, SUITE 201, SOUTHAMPTON, NY 11968-4973
(631) 283-1126
(631) 283-7496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278219
NY
Other
Enumeration date
05/23/2012
Last updated
08/26/2015
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