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Individual

DR. LUCAN RODRIGUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2588
(516) 663-4644
Mailing address
259 1ST ST, MINEOLA, NY 11501-3957

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
265334-1
NY

Other

Enumeration date
07/16/2012
Last updated
07/16/2012
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