Individual
DR. LUCAS WYATT DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(800) 525-2225
Mailing address
1233 YORK AVE APT 19J, NEW YORK, NY 10065-6342
(917) 301-2444
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
286469
NY
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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