Lucio Malaco Pereira
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
430 Lakeville Rd
New Hyde Park
, New York 11042-1121
Lucio Malaco Pereira
Otolaryngologist (ENT Doctor) Plastic Surgeon (Head & Neck)
430 Lakeville Rd
New Hyde Park
, New York 11042-1121
(313) 909-7782
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Lucio Malaco Pereira
- 5419 Linden Ct
- Bethesda, MD
- Zip : 20814-1643
- Phone : (313) 909-7782
Second Address
- Lucio Malaco Pereira
- 430 Lakeville Rd
- New Hyde Park, NY
- Zip : 11042-1121
- Phone : (718) 470-7550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 287411-1 | NY |
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 287411-1 | NY |
National Provider Identifier
| NPI | 1134336597 |
|---|---|
| Provider Name | Lucio Malaco Pereira |
| First Address | Bethesda, MD 20814-1643 |
| Second Address | New Hyde Park, NY 11042-1121 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 06/02/2017 |
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.