Dajdea, Lucian V

Dajdea, Lucian V is an individual health care provider with primary practice located at 6685 Forest Avenue Forest Medical Pc, Ridgewood NY 11385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dajdea, Lucian V can be contacted via phone (718) 456-9733.

Contact Information

Primary practice address
6685 Forest Avenue Forest Medical Pc Ridgewood NY 11385
Phone: (718) 456-9733
Fax: (718) 418-2547
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 153356 New York

Profile Details

NPI number 1720047525
LBN Legal business name Dajdea, Lucian V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720047525 NPPES
Other 153356 HIP
Other 0056085 HIP
Other 12D481 HIP
Other DP008 HIP
Other 4C3684 HIP
Other 6604339004 HIP
Other 4117285 HIP
MEDICAID 00811945 HIP

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