Individual
DR. JEFFREY V LUCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
441 77TH STREET, BROOKLYN, NY 11209
(718) 745-3800
(718) 745-8999
Mailing address
441 77TH STREET, BROOKLYN, NY 11209
(718) 745-3800
(718) 745-8999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000043663
GHI HMO
—
01
—
0014397
GHI
—
05
—
00968401
—
NY
01
—
030004115NY01
ANTHEM
—
01
—
113055137
AFTRA
—
01
—
163636
ELDERPLAN
—
01
—
1C5680
PHS
—
01
—
259850201
HEALTHPLUS
—
01
—
P43111
EMPIRE BC BS
—
01
—
P746188
OXFORD
—
Enumeration date
04/25/2006
Last updated
02/22/2021
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