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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TYLER S LUCAS, M.D.

Active

DR. TYLER S LUCAS, M.D. is a Specialist healthcare provider located in NEW YORK, New York. NPI 1497758734 is currently active in the NPPES registry. Verify at CMS.

Specialist · NEW YORK, NY

Registration Details

NPI Number
1497758734
Provider Type
Individual
Gender
Male
NPI Issued
May 31, 2005 (21.02279118149 yrs)
Last Updated
Dec 11, 2014
Licenses
183122 (NY)
037168 (CT)

Practice Information

Address
1421 3RD AVE
PENTHOUSE
NEW YORK, NY, 100281802
Browse NY providers · Browse ZIP 10028
Phone
2128765400
Fax
2128282344
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

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Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.