| Dr Michael Jude Lacqua, MD | |
|
2372 Victory Blvd, Staten Island, NY 10314-6607 | |
| (718) 761-3700 | |
| Not Available |
| Full Name | Dr Michael Jude Lacqua |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 36 Years |
| Location | 2372 Victory Blvd, Staten Island, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992753883 | NPI | - | NPPES |
| 01710118 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 192446 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Richmond University Medical Center | Staten island, NY | Hospital |
| Entity Name | Nyu Langone Hospitals |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790975944 PECOS PAC ID: 4981515699 Enrollment ID: O20050721000058 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Amboy Medical Practice, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700037975 PECOS PAC ID: 2860538170 Enrollment ID: O20090930000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Jude Lacqua, MD 2372 Victory Blvd, Staten Island, NY 10314-6607 Ph: (718) 761-3700 | Dr Michael Jude Lacqua, MD 2372 Victory Blvd, Staten Island, NY 10314-6607 Ph: (718) 761-3700 |
Dr. Michael Cooper, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Seaview Ave, Staten Island, NY 10305 Phone: 781-226-6988 | |
Dr. Robert V Vitolo, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1510 Richmond Rd, Staten Island, NY 10304 Phone: 718-667-0890 Fax: 718-667-0463 | |
Dr. Alan Cherofsky, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4546 Hylan Blvd, Staten Island, NY 10312 Phone: 718-967-3300 Fax: 718-967-1882 | |
Dr. Raghava Raju, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2131 Richmond Road, Staten Island, NY 10306 Phone: 718-979-5553 Fax: 718-979-5407 | |
Dr. Keith Spencer Berman, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1055 Hylan Blvd, Staten Island, NY 10305 Phone: 718-351-0654 Fax: 718-351-7108 | |
Dr. Louis C Cutolo Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1557 Victory Boulevard, Staten Island, NY 10314 Phone: 718-720-9400 Fax: 718-556-1201 | |
Igor Burko, Plastic Surgery Medicare: Medicare Enrolled Practice Location: 20 Father Capodanno Blvd Apt 6h, Staten Island, NY 10305 Phone: 347-816-0253 |