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NPI Code Detail

MEDICARE: DR. LUCY CHUE-YIN HOLMES MD

MEDICARE: DR. LUCY CHUE-YIN HOLMES 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
1208000000XPediatrics Physician194399NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100010078501OTHERUNIVERA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3080407000089OTHERFIDELIS
4040426002229OTHERFIDELIS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
61208191OTHERIHA
7000524381001OTHERBC/BS

General Provider Information

NPI Number : 1932154168
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUCY CHUE-YIN HOLMES MD
Provider Business Mailing Address
First Line : 1001 MAIN ST FL 5
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1009
Country : US
Telephone Number : 716-323-0034
Fax Number : 716-323-0292
Provider Business Practice Location Address
First Line : 1050 NIAGARA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2001
Country : US
Telephone Number : 716-768-7600
Fax Number : 716-768-7621
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 08/17/2023

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