Luczycki, Stephen Matthew
Luczycki, Stephen Matthew is an individual health care provider with primary practice located at 20 York St Dept. Of Anesthesiology, New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Luczycki, Stephen Matthew can be contacted via phone (203) 785-2802.Contact Information
Primary practice address
20 York St Dept. Of Anesthesiology
New Haven CT 06510-3220
Phone: (203) 785-2802
Fax: (203) 785-6664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 042528 | Connecticut |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 042528 | Connecticut |
Profile Details
| NPI number | 1942281241 |
|---|---|
| LBN Legal business name | Luczycki, Stephen Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Mar 11th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942281241 | NPPES |
| Connecticut | MEDICAID | 001425281 |
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