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NPI Code Detail

MEDICARE: MR. DENNIS PATRICK LUCEY L.C.S.W

MEDICARE:  MR. DENNIS PATRICK LUCEY  L.C.S.W
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
11041C0700XClinical Social WorkerR024896NY

General Provider Information

NPI Number : 1780629295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENNIS PATRICK LUCEY L.C.S.W
Provider Business Mailing Address
First Line : 10 PLAZA ST E
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-4954
Country : US
Telephone Number : 718-857-1075
Fax Number : 718-857-1075
Provider Business Practice Location Address
First Line : 10 PLAZA ST E
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-4954
Country : US
Telephone Number : 718-857-1075
Fax Number : 718-857-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DENNIS PATRICK LUCEY L.C.S.W” Practice Location

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