Individual
DR. LUCIA RANAURO WOLGAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6573
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6573
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
260248
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
260248
NY
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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