Individual
BASIL LUCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, 9 N, NEW YORK, NY 10016-6402
(212) 263-3095
Mailing address
530 1ST AVE, 9 N, NEW YORK, NY 10016-6402
(212) 263-3095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
124568
NY
Other
Enumeration date
08/31/2005
Last updated
02/10/2012
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