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Physician Compare National (NPI:1942250220)

HEALTHCARE PROVIDER: LUCIANO TULUCA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1942250220
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 1456305150
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20050305000009
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name TULUCA
Individual professional last name
Provider First Name LUCIANO
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Individual professional's medical school
Graduation Year 1996
Individual professional's medical school graduation year
Primary Specialty PAIN MANAGEMENT
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 PHYSICAL MEDICINE AND REHABILITATION
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties PHYSICAL MEDICINE AND REHABILITATION
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 2114 WILLIAMSBRIDGE RD
Group Practice or individual's line 1 address
Line 2 Street Address SECOND FLOOR
Group Practice or individual's line 2 address
City BRONX
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 104611600
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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