Provider Demographics
NPI:1932154168
Name:HOLMES, LUCY CHUE-YIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LUCY
Middle Name:CHUE-YIN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MAIN ST FL 5
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1009
Mailing Address - Country:US
Mailing Address - Phone:716-323-0034
Mailing Address - Fax:716-323-0292
Practice Address - Street 1:1050 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-2001
Practice Address - Country:US
Practice Address - Phone:716-768-7600
Practice Address - Fax:716-768-7621
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY194399208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
00010078501OtherUNIVERA
PA0017434030001Medicaid
080407000089OtherFIDELIS
040426002229OtherFIDELIS
NY01638802Medicaid
1208191OtherIHA
000524381001OtherBC/BS
NYG25259Medicare UPIN
NY01638802Medicaid