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Organization

84 STREET MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUCOT CHERENFANT M.D. (DOCTOR)
(718) 507-0300
Entity
Organization

Contact information

Practice address
3559 84TH ST, JACKSON HEIGHTS, NY 11372-5367
(718) 507-0300
(718) 507-0330
Mailing address
1324 E 53RD ST, BROOKLYN, NY 11234-2312
(917) 331-8817
(718) 507-0330

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
244586
NY

Other

Enumeration date
08/10/2014
Last updated
08/10/2014
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