Boris Lukatskiy, | |
750 E Adams St, Syracuse, NY 13210-1834 | |
(315) 464-4891 | |
Not Available |
Full Name | Boris Lukatskiy |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 750 E Adams St, Syracuse, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1417719840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 735574 (New York) | Primary |
Entity Name | Upstate Medical Anesthesiology Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851485759 PECOS PAC ID: 8921992389 Enrollment ID: O20040209000612 |
Mailing Address | Practice Location Address |
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Boris Lukatskiy, 5784 Widewaters Pkwy, Floor 2, Syracuse, NY 13214-1890 Ph: (315) 469-1130 | Boris Lukatskiy, 750 E Adams St, Syracuse, NY 13210-1834 Ph: (315) 464-4891 |
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