| Anthony L Luciano, M.d., P.c. | |
|
450 Plandome Rd Suite 103 Manhasset NY 11030-1937 | |
| (516) 365-5050 | |
| (516) 869-9894 |
| Full Name | Anthony L Luciano, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 Plandome Rd, Manhasset, New York |
| Authorized Official Name and Position | Anthony Louis Luciano (ANTHONY L LUCIANO M.D.) |
| Authorized Official Contact | 5163655050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony L Luciano, M.d., P.c. 450 Plandome Rd Suite 103 Manhasset NY 11030-1937 Ph: (516) 365-5050 | Anthony L Luciano, M.d., P.c. 450 Plandome Rd Suite 103 Manhasset NY 11030-1937 Ph: (516) 365-5050 |
| NPI Number | 1417274457 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 04/30/2010 |
| Medicare PECOS PAC ID | 9739214503 |
|---|---|
| Medicare Enrollment ID | O20100318000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417274457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 158971 (New York) | Primary |
| Provider Name | Anthony L Luciano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053328435 PECOS PAC ID: 7911032784 Enrollment ID: I20100318000237 |
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