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Individual

DR. CARLA ADRIANA LUCACEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4224 GREENPOINT AVE, SUNNYSIDE, NY 11104-3004
(718) 482-6814
(718) 482-6817
Mailing address
4224 GREENPOINT AVE, SUNNYSIDE, NY 11104-3004
(718) 482-6814
(718) 482-6817

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
236859
NY
208000000X
Pediatrics Physician
25MA08013100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000105147
GHI HMO
NY
01
00042360914
HEALTHPLUS
NY
01
009248-CL
METROPLUS
NY
01
0102793-01
AMERICHOICE
NY
05
02688700
NY
01
1000037513
AFFINITY
NY
01
203253540LU01
CAREPLUS
NY
01
217859P
HIP
NY
01
23685901
NEIGHBORHOOD
NY
01
236859A29
HEALTHFIRST
NY
01
236859NY
1199 NBF
NY
01
2482U
EMPIRE BC/BS
NY
01
2571196
UNITEDHEALTHCARE
NY
01
2605060
GHI PPO
NY
01
316422
WELLCARE
NY
01
3949387
CIGNA
NY
01
5653922
FIRSTHEALTH
NY
01
7043716
AETNA PPO
NY
01
LC6853
ATLANTIS
NY
01
P3663889
OXFORD
NY
Enumeration date
06/03/2006
Last updated
02/27/2014
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