Individual
JOSE RAFAEL LUGAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3654 LEE BLVD., JEFFERSON VALLEY, NY 10535
(914) 245-4760
(914) 243-9861
Mailing address
P.O. BOX 489, JEFFERSON VALLEY, NY 10535
(914) 245-4760
(914) 243-9861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045330
NY
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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