Heather Lucido PA

NPI 1346295557 - Physician Assistant - 363A00000X

NPI Details
NPI 1346295557
Gender Female
Enumeration Date 05/24/2006
Last Updated 05/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-3000
Fax
Business Location
PO BOX 6010
HAUPPAUGE NY, 11788-9010, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 009604
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According to our database, Mrs. Heather Lucido PA NPI is 1346295557, taxonomy code is 363A00000X and license number is 009604, license state is located at New York. Heather Lucido PA physically located at 1000 Montauk Hwy, West Islip NY, 11795-4927. NPI Number Heather Lucido PA has the Individual type.

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1346295557 NPI number is provided on an as is basis without warranty of any kind. 1346295557 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Lucido PA are for informational purposes only.