Individual
COURTNEY LUCYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP, RN
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
33 FORBES BLVD, EASTCHESTER, NY 10709-1533
(914) 844-8199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
589675-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
43 430987
NY
Other
Enumeration date
02/23/2015
Last updated
06/18/2016
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