Provider Demographics
NPI:1013238591
Name:LOUKA, MAGDA F (DO)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:F
Last Name:LOUKA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:55 WATER STREET
Mailing Address - Street 2:2ND FLOOR CRED DEPT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10041
Mailing Address - Country:US
Mailing Address - Phone:646-680-2888
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:1050 CLOVE ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301
Practice Address - Country:US
Practice Address - Phone:718-816-6440
Practice Address - Fax:718-816-3611
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2019-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY368788207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine