Organization
LUCILLE R. VAN HOOK SPIVACK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE R VAN HOOK (SOLE PROPRIETER)
(718) 828-4227
Entity
Organization
Contact information
Practice address
1120 MORRIS PARK AVE, BRONX, NY 10461-1400
(718) 828-4227
Mailing address
PO BOX 749, BRONX, NY 10469-0701
(718) 828-4227
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
141418
NY
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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