Individual provider · Type 1 NPI
Tyler S. Lucas, MD
Specialist · New York, NY
NPI number
1497758734
Active
Practice location
1421 3rd Ave, Penthouse
New York, NY 10028-1802
Fax (212) 828-2344
Mailing address
2900 Westchester Ave, Suite 307
Purchase, NY 10577-2552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 183122 (NY) |
| Specialist | 174400000X | 037168 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1497758734
Tyler S. Lucas, MD's National Provider Identifier is 1497758734, issued on May 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Dec 11, 2014.