MEDICARE: DR. RALPH JOSEPH LUCARIELLO 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
1	207R00000X	Internal Medicine Physician	072852	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629153424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RALPH JOSEPH LUCARIELLO MD

Provider Business Mailing Address
First Line	:	4234 BRONX BOULEVARD
Second Line	:	MONTEFIORE NORTH
City	:	BRONX
State	:	NY
Zip	:	10466
Country	:	US
Telephone Number	:	718-920-9588
Fax Number	:	718-920-9245

Provider Business Practice Location Address
First Line	:	4234 BRONX BOULEVARD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466
Country	:	US
Telephone Number	:	347-341-4346
Fax Number	:	718-920-9245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/21/2025

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