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NPI Code Detail

MEDICARE: MRS. ZULAY ALICIA LUCENA DPT

MEDICARE: MRS. ZULAY ALICIA LUCENA DPT
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
1225100000XPhysical Therapist40QA01556400NJ

General Provider Information

NPI Number : 1487062428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ZULAY ALICIA LUCENA DPT
Provider Business Mailing Address
First Line : 1111 US HIGHWAY 22
Second Line :
City : MOUNTAINSIDE
State : NJ
Zip : 07092-2808
Country : US
Telephone Number : 908-389-9100
Fax Number : 908-389-9101
Provider Business Practice Location Address
First Line : 8601 DUNWOODY PL STE 130
Second Line :
City : SANDY SPRINGS
State : GA
Zip : 30350-2517
Country : US
Telephone Number : 877-407-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2014
Last Update Date : 01/07/2025

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