Provider Demographics
NPI:1295623239
Name:ESTIGARRIBIA, LUCAS EMANUEL
Entity type:Individual
Prefix:
First Name:LUCAS
Middle Name:EMANUEL
Last Name:ESTIGARRIBIA
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 1:239 W 148TH ST APT 4E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3135
Mailing Address - Country:US
Mailing Address - Phone:646-327-6615
Mailing Address - Fax:
Practice Address - Street 1:239 W 148TH ST APT 4E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3135
Practice Address - Country:US
Practice Address - Phone:646-327-6615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter