Individual
JESSY LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, SUITE 4N98, BROOKLYN, NY 11235-7745
(718) 616-3780
(718) 616-3797
Mailing address
148 BYRNE AVE, PH, STATEN ISLAND, NY 10314-4407
(718) 494-1874
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340702-1
NY
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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