LUCKY CARE MEDICAL, PC
Osteopathic Medicine at 2 Ave, New York, NY

License number
New York 167799
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: CLYDE LUCKY M.D.
Title: PRESIDENT
Phone: (212) 876-8590
Address
Address 2
2108 2Nd Ave, New York, NY 10029
13876 Queens Blvd FL 1, Jamaica, NY 11435
National Provider ID: 1174796650
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LUCKY CARE MEDICAL, PC

Jamaica, NY  -  New York, NY

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Apr 21, 1994
Phone:
(212) 876-8590 (Phone)
Addresses:
104-23 111 St, South Richmond Hill, NY 11419 (Physical)
C.c Lucky M.d 104-23 111 St, South Richmond Hill, NY 11419 (Physical)
2108 2 Ave, New York, NY 10029
10423 111 St, Jamaica, NY 11419
Nurse Practitioners:
Clyde C Lucky Md, 104-23 111 St, South Richmond Hill, NY 11419 (Physical),Clyde Lucky Chairman, President, Chief Executive Officer, Internal Medicine, Medical Doctor, inactive,Dassie Lukes Office Manager, inactive,...
Categories:
Internal Medicine Physicians & Surgeons, Physicians & Surgeons

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