Julie Annette Luckman
NEW SEASON DERMATOLOGY PLLC


Address: 302 Reynolds Rd, Suite A, Johnson City, NY 13790-1308
Phone: 6074445446

Julie Annette Luckman (NPI# 1871868208, PAC ID# 4183888704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1871868208
PAC ID by PECOS 4183888704
Professional Enrollment ID I20120612000314
Full Name Julie Annette Luckman
Organization Legal Name NEW SEASON DERMATOLOGY PLLC
Address 302 Reynolds Rd
Suite A
Johnson City
NY 13790-1308
Phone Number 6074445446
Gender F
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3577820851
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330394 UNITED HEALTH SERVICES HOSPITALS, INC
330011 LOURDES HOSPITAL

Other Locations

Address Phone Organization
950 County Rte, Suite 64, Elmira, NY 14903-9711 6077965900 SOUTHERN TIER DERMATOLOGY AND AESTHETICS
333 Hooper Rd, Endwell, NY 13760-3641 6077292777130 SOUTHERN TIER DERMATOLOGY AND AESTHETICS
302 Reynolds Rd, Suite A, Johnson City, NY 13790-1308 6074445446 NEW SEASON DERMATOLOGY PLLC

Organization Information

Organization Legal Name NEW SEASON DERMATOLOGY PLLC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Robert George Egbers Dermatology New Season Dermatology Pllc 302 Reynolds Rd, Suite A, Johnson City, NY 13790-1308

Office Location

Street Address 302 REYNOLDS RD
SUITE A
City JOHNSON CITY
State NY
Zip 13790-1308

Physicians in the same location

Name Specialty Organization Address
Robert George Egbers Dermatology New Season Dermatology Pllc 302 Reynolds Rd, Suite A, Johnson City, NY 13790-1308

Physicians in the same zip code

Name Specialty Organization Address
Alyssa Leigh Middaugh Physical Therapy Physical Therapy At Oakdale, Pllc 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007
Andrew James Whittock Physician Assistant Osteopathic Pain Management Services LLC 153 Oakdale Rd, Johnson City, NY 13790-1007
John K Koniuto Physical Therapy Physical Therapy At Oakdale, Pllc 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007
Kevin L Hastings Jr. Internal Medicine Osteopathic Pain Management Services LLC 153 Oakdale Rd, Johnson City, NY 13790-1007
Molly C Higgins Physical Medicine and Rehabilitation Physical Therapy At Oakdale, Pllc 153 Oakdale Rd, Suite 2, Johnson City, NY 13790-1007
Lisa Cerutti Physical Therapy Bodyworks Physical Therapy LLC 765 Harry L Dr, Johnson City, NY 13790-1012
Molly Brown Physical Therapy Bodyworks Physical Therapy LLC 765 Harry L Dr, Johnson City, NY 13790-1012
Michelle A Morante Clinical Social Worker Calvary Community Wesleyan Church 780 Harry L Dr, Johnson City, NY 13790-1036
Laura Ward Clinical Social Worker Calvary Community Wesleyan Church 780 Harry L Dr, Johnson City, NY 13790-1036
Gregory T Peake Physical Therapy Broome Orthopedic and Sport Physical Therapy 800 Valley Plz, Suite 9, Johnson City, NY 13790-1046
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Competitor

Search similar physicians

City JOHNSON CITY
Zip Code 13790
Specialty PHYSICIAN ASSISTANT
City + Specialty JOHNSON CITY + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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