LUCAS S RALSTON

AMBOY MEDICAL PRACTICE PC

Dr LUCAS S RALSTON is a male medical professional, specializing in Psychiatry. He graduated in 2004 from Ohio University Of Osteo Medicine.

Contact

AMBOY MEDICAL PRACTICE PC

355 BARD AVE
STATEN ISLAND
NY
103101664

Tel:

LUCAS S RALSTON Information

Npi 1841316155
Pac Id 7214117407
Professional Enrollment Id I20110204000480
Last Name RALSTON
First Name LUCAS
Middle Name S
Suffix
Gender M
Credential
Medical School Name OHIO UNIVERSITY OF OSTEO MEDICINE
Graduation Year 2004
Primary Specialty PSYCHIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AMBOY MEDICAL PRACTICE PC
Group Practice Pac Id 2860538170
Number Of Group Practice Members 111
Line 1 Street Address 355 BARD AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City STATEN ISLAND
State NY
Zip Code 103101664
Phone Number
Hospital Affiliation Ccn 1 330028
Hospital Affiliation Lbn 1 RICHMOND UNIVERSITY MEDICAL CENTER
Hospital Affiliation Ccn 2 330160
Hospital Affiliation Lbn 2 STATEN ISLAND UNIVERSITY HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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