Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lucy Alexander Panicker

Individual provider Physician Assistant · NPI 1740589886

Lucy Alexander Panicker is a Physician Assistant in Bronx, New York. Qualified in 2009, 17 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-2961
Fax: (718) 920-2058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014420 (NY)

Record details

NPI number1740589886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Bronx