| Lumina Dr G Medical Pllc | |
|
8120 15th Ave Brooklyn NY 11228-3120 | |
| (718) 331-2897 | |
| Not Available |
| Full Name | Lumina Dr G Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8120 15th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Victor J Guadagnino (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5168177093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lumina Dr G Medical Pllc 15 Lord Ave Ste 1 Lawrence NY 11559-1321 Ph: (516) 817-7093 | Lumina Dr G Medical Pllc 8120 15th Ave Brooklyn NY 11228-3120 Ph: (718) 331-2897 |
| NPI Number | 1407664469 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Medicare PECOS PAC ID | 4183152457 |
|---|---|
| Medicare Enrollment ID | O20250114003144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407664469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Guiselly Erazo-romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528551223 PECOS PAC ID: 2365794088 Enrollment ID: I20230209000012 |
| Provider Name | Bridgett Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20240301000499 |
| Provider Name | Monique Jennifer Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174048474 PECOS PAC ID: 5991134389 Enrollment ID: I20250116000251 |
| Provider Name | Victor Guadagnino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215939038 PECOS PAC ID: 7012041791 Enrollment ID: I20250124001316 |
| Provider Name | Cassondra Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750916433 PECOS PAC ID: 7315355211 Enrollment ID: I20250224002357 |
| Provider Name | Esha Lestrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114577392 PECOS PAC ID: 9335569821 Enrollment ID: I20250228001541 |
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