Most Relevant Information
Provider Data
| NPI Number: | 1003495102 |
| Provider Name: | GEORGI LUKOSE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2021 |
| Last Updated: | 09/11/2023 |
Provider Practice Location
1414 YORK AVE
NEW YORK
NY
100213129
Practice Location Phone/Fax
| Phone: | 2127465454 |
| Fax: |
Provider Mailing Location
520 E 70TH ST
NEW YORK
NY
100219800
Provider Mailing Phone/Fax
| Phone: | 2127462832 |
| Fax: |