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Contact Information

JACLYN M COLETTA LUCAS
622 W 168TH ST
PH 16-66
NEW YORK, NY10032-3720
 Phone: 212-305-6293
 Fax: 212-342-2717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JACLYN M COLETTA LUCAS · (Female)

NPI Number 1477759611
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2007
Last updated 04/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 241653
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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