Organization
SUSAN L LUCAK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN L LUCAK MD (PRESIDENT)
(212) 861-0481
Entity
Organization
Contact information
Practice address
903 PARK AVE, LOWER LEVEL, NEW YORK, NY 10075-0338
(212) 861-0481
(914) 346-5176
Mailing address
903 PARK AVE, FIRST FLOOR, NEW YORK, NY 10075-0338
(212) 861-0481
(914) 346-5176
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
154388
NY
Other
Enumeration date
07/20/2011
Last updated
04/25/2013
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