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Individual

GEM-ESTELLE M LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
(212) 280-4743
Mailing address
535 W 110TH ST APT 1E, NEW YORK, NY 10025-2021
(212) 280-4740
(212) 280-4743

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MB08029600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000847661
ANTHEM BCBS
IN
Enumeration date
10/26/2006
Last updated
05/04/2026
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