Individual
EREK JOURDAN LUCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2310 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-2035
(516) 346-5090
Mailing address
465 JEFFERSON PL, MINEOLA, NY 11501-2215
(516) 884-4351
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026219
NY
Other
Enumeration date
01/29/2020
Last updated
01/20/2021
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