Individual
DR. SUSAN LEBEDOVA LUCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. PC
Contact information
Practice address
903 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-0338
(212) 861-0481
(212) 861-2401
Mailing address
903 PARK AVE, 1ST FLOOR, NEW YORK, NY 10075-0338
(212) 861-0481
(212) 861-2401
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
154388
NY
Other
Enumeration date
11/01/2006
Last updated
04/25/2013
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