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Lucko Jean
Driver in Nesconset, New York
NPI 1467950162

Lucko Jean is a Driver based in Nesconset, NY. Lucko Jean practices in Nesconset, NY. The NPI Number for Lucko Jean is 1467950162 and holds a License No. (New York).

The current practice location address for Lucko Jean is 205 Gibbs Pond Rd, Nesconset, NY and can be reached out via phone at 631-432-9691 and via fax at 631-257-5866.

Location: 205 Gibbs Pond Rd, Nesconset, NY, 11767-2265
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467950162
Provider Name
Lucko Jean
Credential
Provider Entity Type
Individual
Gender
Male
Address
205 Gibbs Pond Rd, Nesconset, NY, 11767-2265
Phone Number
631-432-9691
Fax Number
631-257-5866
Provider Enumeration Date
01/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04582707 05 NY
institution
Provider Business Practice Location Address Details
Address
205 Gibbs Pond Rd
City
Nesconset
State
New York
Zip
11767-2265
Phone Number
631-432-9691
Fax Number
631-257-5866
person
Provider Business Mailing Address Details
Address
205 Gibbs Pond Rd
City
Nesconset
State
New York
Zip
11767-2265
Phone Number
631-432-9691
Fax Number
631-257-5866
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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