Provider Demographics
NPI:1891050290
Name:MCCAFFREY, LUCAS M (DO)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:M
Last Name:MCCAFFREY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:889 E MAIN ST STE 308
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-2681
Mailing Address - Country:US
Mailing Address - Phone:631-386-3500
Mailing Address - Fax:929-455-9628
Practice Address - Street 1:889 E MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2681
Practice Address - Country:US
Practice Address - Phone:631-386-3500
Practice Address - Fax:929-455-9628
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY277691207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology