Jessy Lukose
Nurse Practitioner - Gerontology
2601 Ocean Pkwy Suite 4n98
Brooklyn
, New York 11235-7745
Jessy Lukose
Nurse Practitioner - Gerontology
2601 Ocean Pkwy Suite 4n98
Brooklyn
, New York 11235-7745
(718) 494-1874
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jessy Lukose
- 148 Byrne Ave Ph
- Staten Island, NY
- Zip : 10314-4407
- Phone : (718) 494-1874
Second Address
- Jessy Lukose
- 2601 Ocean Pkwy Suite 4n98
- Brooklyn, NY
- Zip : 11235-7745
- Fax : (718) 616-3797
- Phone : (718) 616-3780
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | F340702-1 | NY |
National Provider Identifier
| NPI | 1083931356 |
|---|---|
| Provider Name | Jessy Lukose |
| First Address | Staten Island, NY 10314-4407 |
| Second Address | Brooklyn, NY 11235-7745 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2010 |
| Last Update Date | 27/04/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.