| Mr Corey Austin Lucius, FNP-BC | |
|
1275 York Ave, New York, NY 10065-6007 | |
| (212) 639-2000 | |
| Not Available |
| Full Name | Mr Corey Austin Lucius |
|---|---|
| Gender | Male |
| Speciality | Clinical Nurse Specialist - Oncology |
| Location | 1275 York Ave, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558916825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SX0200X | Clinical Nurse Specialist - Oncology | 344660 (New York) | Primary |
| Entity Name | Memorial Medical Consultation Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372 |
| Entity Name | Memorial Solid Tumor Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699746172 PECOS PAC ID: 4082503354 Enrollment ID: O20040313000668 |
| Entity Name | Mskcc Surgery Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
| Entity Name | Circle Medical Care Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780425447 PECOS PAC ID: 0749710465 Enrollment ID: O20250211002364 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Corey Austin Lucius, FNP-BC 2828 29th St Apt C9, Long Island City, NY 11102-2432 Ph: (901) 361-3086 | Mr Corey Austin Lucius, FNP-BC 1275 York Ave, New York, NY 10065-6007 Ph: (212) 639-2000 |
Mrs. Jaisa Joseph Pallickal, MSN ANP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 75 Broad St, 0815, New York, NY 10004 Phone: 718-391-0611 | |
Oliver Pulido, ANP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: One Penn Plaza, 7th Floor, Suite 725, New York, NY 10119 Phone: 917-238-6698 | |
Ms. Laura Kleinerman, MS RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 156 West 86th Street, 1c, New York, NY 10024 Phone: 212-874-2417 | |
Allegra Dacosta-wald, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 530 E 74th St, New York, NY 10021 Phone: 917-477-9594 | |
Ms. Aileen J. Song, A.P.N. Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 100 E 77th St, New York, NY 10075 Phone: 212-434-2565 | |
Ms. Mary Alice Poupon, NPP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 109 W 27th St Rm 5s, New York, NY 10001 Phone: 833-351-8255 | |
Mr. Rheoneil A Lascano, FNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1190 Fifth Avenue, One Gustave L. Levy Place, New York, NY 10029 Phone: 212-241-5881 Fax: 212-241-0065 |