Lucas S Ralston (NPI# 1841316155, PAC ID# 7214117407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1841316155 |
| PAC ID by PECOS | 7214117407 |
| Professional Enrollment ID | I20110204000480 |
| Full Name | Lucas S Ralston |
| Organization Legal Name | AMBOY MEDICAL PRACTICE PC |
| Address |
110 Henderson Ave Staten Island NY 10301-2108 |
| Phone Number | 7187278100 |
| Gender | M |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2860538170 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330028 | RICHMOND UNIVERSITY MEDICAL CENTER |
| 330160 | STATEN ISLAND UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1058 Forest Ave, Staten Island, NY 10310-2419 | 7188181058 | AMBOY MEDICAL PRACTICE PC |
| 110 Henderson Ave, Staten Island, NY 10301-2108 | 7187278100 | AMBOY MEDICAL PRACTICE PC |
| 355 Bard Ave, Staten Island, NY 10310-1664 | AMBOY MEDICAL PRACTICE PC |
| Organization Legal Name | AMBOY MEDICAL PRACTICE PC |
| Physicians | 95 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Indira Bashic | Nurse Practitioner | Amboy Medical Practice PC | 4360 Hylan Blvd, Staten Island, NY 10312-6533 |
| Tihesha Wilson | General Surgery | Amboy Medical Practice PC | 1161 Victory Blvd, Staten Island, NY 10301-3621 |
| Michele C Mcmurray | Nurse Practitioner | Amboy Medical Practice PC | 1058 Forest Ave, Staten Island, NY 10310-2419 |
| Xin Y Li | Vascular Surgery | Amboy Medical Practice PC | 11 Ralph Pl, Suite 102, Staten Island, NY 10304-4405 |
| Aleksandr Usorov | Nephrology | Amboy Medical Practice PC | 355 Bard Ave, Staten Island, NY 10310-1664 |
| Alexander Beylinson | Internal Medicine | Amboy Medical Practice PC | 1487 Richmond Rd, Staten Island, NY 10304-2311 |
| Neil Nepola | Family Medicine | Amboy Medical Practice PC | 217 Rose Ave, Staten Island, NY 10306-2918 |
| Hoon Lee | Radiation Oncology | Amboy Medical Practice PC | 360 Bard Ave, Staten Island, NY 10310-1666 |
| Mitchell A Fogel | Nephrology | Amboy Medical Practice PC | 355 Bard Ave, Staten Island, NY 10310-1664 |
| Nadubeethi Jayaram | Orthopedic Surgery | Amboy Medical Practice PC | 11 Ralph Pl, Suite 102, Staten Island, NY 10304-4405 |
| Street Address |
110 HENDERSON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10301-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Antoun | Physical Therapy | 110 Henderson Ave, Suite 720, Staten Island, NY 10301-2108 | |
| Susana Lourido | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Shevi Koschitzki | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Salim Hussain | Psychiatry | Amboy Medical Practice PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Yasmin Nunez | Physician Assistant | Synergy Health Medical Solutions PC | 110 Henderson Ave, Staten Island, NY 10301-2108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Ann Thompson | Clinical Social Worker | 120 Stuyvesant Pl, Suite 4, Staten Island, NY 10301-1992 | |
| Joann Leather | Clinical Social Worker | Staten Island Mental Health Society, Inc. | 669 Castleton Ave, Staten Island, NY 10301-2028 |
| James Reilly | Obstetrics/gynecology | 668 Castleton Ave, Staten Island, NY 10301-2044 | |
| Ulrika Holm | Obstetrics/gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | |
| Emmanuel Ahipue | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Claire W Attia | Psychiatry | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Laura L. Novacek | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Muftau G Bello | Nurse Practitioner | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Lee M Turner | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Delores D Blackwell | Clinical Social Worker | Project Hospitality Inc | 14 Slosson Ter, Staten Island, NY 10301-2507 |
| Find all physicians in zip 10301 | |||
| City | STATEN ISLAND |
| Zip Code | 10301 |
| Specialty | PSYCHIATRY |
| City + Specialty | STATEN ISLAND + PSYCHIATRY |
Please comment or provide details below to improve the information on Lucas S Ralston.
| 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.