Individual
DR. JACLYN MARIE COLETTA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, PH 16-66, NEW YORK, NY 10032-3720
(212) 305-6293
(212) 342-2717
Mailing address
622 W 168TH ST, PH 16-66, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
241653
NY
Other
Enumeration date
06/25/2007
Last updated
04/10/2023
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