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Contact Information

ALEXANDRIA LUCAS, PA-C
101 NICOLLS RD RM 80
STONY BROOK, NY11794-3134
 Phone: 631-444-1478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ALEXANDRIA LUCAS · (Female)

NPI Number 1376161620
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/13/2020
Last updated 12/10/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ME License # PA2413
  • NY License # 027724
Hospital affiliation(s)
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
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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