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LUCIO MALACO PEREIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-7550
Mailing address
5419 LINDEN CT, BETHESDA, MD 20814-1643
(313) 909-7782

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
287411-1
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
287411-1
NY

Other

Enumeration date
05/16/2007
Last updated
02/06/2017
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