Organization
LUKOSE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIJU LUKOSE DO (OWNER)
(631) 271-9151
Entity
Organization
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(631) 271-9151
(631) 271-9155
Mailing address
1662 OLD COUNTRY RD UNIT 1200, PLAINVIEW, NY 11803-7003
(631) 271-9151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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