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1346295557
HEATHER LUCIDO
WEST ISLIP, NY
NPI
1346295557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009604)
Enumeration Date
2006-05-24
Last Update Date
2008-05-29
Business Address
Mrs. HEATHER LUCIDO PA
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-3000
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Mailing Address
Mrs. HEATHER LUCIDO PA
PO BOX 6010
HAUPPAUGE, NY 11788-9010
Phone number:
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