Lecuona, Mario

Lecuona, Mario is an individual health care provider with primary practice located at 230 Steuben St , Montour Falls NY 14865-9648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lecuona, Mario can be contacted via phone (607) 210-1968.

Contact Information

Primary practice address
230 Steuben St Montour Falls NY 14865-9648
Phone: (607) 210-1968
Fax: (607) 210-1971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 103540-1 New York

Profile Details

NPI number 1841261641
LBN Legal business name Lecuona, Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Oct 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841261641 NPPES
Pennsylvania MEDICAID 0011853200001
Pennsylvania Other CC8362
Pennsylvania MEDICAID 00368745

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