Lugo, Jorge Ernesto

Lugo, Jorge Ernesto is an sole proprietor health care provider with primary practice located at 61 New Main St 61 New Main Street, Haverstraw NY 10927-1813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lugo, Jorge Ernesto can be contacted via phone (845) 942-4512.

Contact Information

Primary practice address
61 New Main St 61 New Main Street Haverstraw NY 10927-1813
Phone: (845) 942-4512
Fax: (845) 942-4514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 208332 New York

Profile Details

NPI number 1649443821
LBN Legal business name Lugo, Jorge Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated May 7th, 2008 - about 18 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 1649443821 NPPES
Other 1000000194 AFFINITY
MEDICAID 01814819 AFFINITY
Other 393729 AFFINITY
Other P2543357 AFFINITY
Other 5997592 AFFINITY
Other 040426012056 AFFINITY
Other 134973 AFFINITY
Other 172321P AFFINITY
Other 221824 AFFINITY
Other 46V621 AFFINITY
Other 4C5847 AFFINITY
Other 396995 AFFINITY

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