Individual
LUCAS WILLIAM MAFFEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5112 W TAFT RD STE J, LIVERPOOL, NY 13088-4866
(315) 701-2170
Mailing address
5112 W TAFT RD STE J, LIVERPOOL, NY 13088-4866
(315) 701-2170
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
356916
NY
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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