Individual
CORRINN LUCOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 5TH AVE APT 1F, NEW YORK, NY 10003-4308
(212) 287-7211
Mailing address
25 5TH AVE APT 1F, NEW YORK, NY 10003-4308
(212) 287-7211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
034659
NY
363A00000X
Physician Assistant
25MP00968000
NJ
Other
Enumeration date
09/17/2025
Last updated
12/02/2025
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