Individual
SUSAN LACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
ST LUKES HOSP 1111 AMSTERDAM AVE, OB GYN CLARK 2, NEW YORK, NY 10025
(212) 523-4472
(212) 523-1723
Mailing address
430 E 77TH ST, APT 7F, NEW YORK, NY 10021
(212) 861-7419
(212) 523-1723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
420363
NY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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