Provider Demographics
NPI:1134806235
Name:LUMMIS, GHENT
Entity type:Individual
Prefix:
First Name:GHENT
Middle Name:
Last Name:LUMMIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 WARBURTON AVE PH 2
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1087
Mailing Address - Country:US
Mailing Address - Phone:941-539-4272
Mailing Address - Fax:
Practice Address - Street 1:234 E. 149TH ST., DEPARTMENT OF MEDICINE
Practice Address - Street 2:8TH FLOOR, ROOM 8-30
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:941-539-4272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program