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1558916825
COREY AUSTIN LUCIUS
NEW YORK, NY
NPI
1558916825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QX0200X Clinic/Center, Oncology
(Licence: NY F344660-01)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
Mr. COREY AUSTIN LUCIUS FNP-BC
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-2000
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Mailing Address
Mr. COREY AUSTIN LUCIUS FNP-BC
2828 29TH ST APT C9
LONG ISLAND CITY, NY 11102-2432
Phone number: 901-361-3086
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