Individual provider · Type 1 NPI

Jessy Lukose

Gerontology Nurse Practitioner · Brooklyn, NY

NPI number 1083931356 Active

Practice location

2601 Ocean Pkwy, Suite 4N98
Brooklyn, NY 11235-7745

Fax (718) 616-3797

Mailing address

148 Byrne Ave, Ph
Staten Island, NY 10314-4407

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XF340702-1 (NY)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1083931356

Jessy Lukose's National Provider Identifier is 1083931356, issued on Apr 27, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 27, 2010.