Individual
ANNELISE LUCENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
101 W 81ST ST, 411, NEW YORK, NY 10024-7210
(646) 386-7342
Mailing address
PO BOX 886, NEW YORK, NY 10024-0546
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306699
NY
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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