De Lucas, James L

De Lucas, James L is an individual health care provider with primary practice located at 40 New York Rd , Plattsburgh NY 12903-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. De Lucas, James L can be contacted via phone (518) 563-2526.

Contact Information

Primary practice address
40 New York Rd Plattsburgh NY 12903-3981
Phone: (518) 563-2526
Fax: (518) 563-2721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 148702 New York

Profile Details

NPI number 1518063726
LBN Legal business name De Lucas, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1518063726 NPPES
New York MEDICAID 01617587

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