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NPI Code Detail

MEDICARE: EUGENE HOLUKA MD

MEDICARE: EUGENE HOLUKA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician179450NY

General Provider Information

NPI Number : 1013902550
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGENE HOLUKA MD
Provider Business Mailing Address
First Line : 584 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-2512
Country : US
Telephone Number : 718-273-0553
Fax Number :
Provider Business Practice Location Address
First Line : 584 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-2512
Country : US
Telephone Number : 718-273-0553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/08/2007

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Directions to “ EUGENE HOLUKA MD” Practice Location

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