National Provider Identifier
Julie A Luckman
Julie A Luckman is listed in the NPPES registry with a primary specialty of Physician Assistant in Horseheads, NY and a listed phone number of (607) 873-1832.
Profile Overview
- NPI
- 1871868208
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 19, 2012
- Last Updated
- August 16, 2016
Practice Location
- 2977 Westinghouse RD
- Suite 3
- Horseheads, NY 14845-8120
Phone: (607) 873-1832
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1871868208
- Entity Type
- Individual
- Last Name
- Luckman
- First Name
- Julie
- Middle Name
- A
- Name Prefix
- MS.
- Provider Other Last Name
- Luckman-Wilcox
- Provider Other First Name
- Julie
- Provider Other Middle Name
- A
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- PHYSICIAN ASSISTANT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Practice Street Address
- 2977 Westinghouse RD
- Practice Address Line 2
- Suite 3
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-8120
- Practice Country
- US
- Practice Phone
- (607) 873-1832
- Practice Fax
- (607) 873-1833
- Enumeration Date
- March 19, 2012
- Last Updated
- August 16, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 04403196 (NY)