Lukin Center For Psychotherapy And Advancement Pc | |
48 Monroe Pl Brooklyn NY 11201-2603 | |
(917) 903-1901 | |
Not Available |
Full Name | Lukin Center For Psychotherapy And Advancement Pc |
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Speciality | Psychologist |
Location | 48 Monroe Pl, Brooklyn, New York |
Authorized Official Name and Position | Konstantin Lukin (PRESIDENT) |
Authorized Official Contact | 9179031901 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lukin Center For Psychotherapy And Advancement Pc 48 Monroe Pl Brooklyn NY 11201-2603 Ph: () - | Lukin Center For Psychotherapy And Advancement Pc 48 Monroe Pl Brooklyn NY 11201-2603 Ph: (917) 903-1901 |
NPI Number | 1497170971 |
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Provider Enumeration Date | 02/20/2014 |
Last Update Date | 02/20/2014 |
Medicare PECOS PAC ID | 4183849052 |
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Medicare Enrollment ID | O20140709000704 |
Identifier | Type | State | Issuer |
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1497170971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 35SI00522900 (New York) | Primary |
Provider Name | Elissa R. Gross |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1063741833 PECOS PAC ID: 7618019308 Enrollment ID: I20100119000181 |
Provider Name | Konstantin Lukin |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457776007 PECOS PAC ID: 5092930966 Enrollment ID: I20140709000731 |
Provider Name | Andrea Kara Tesher |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093217135 PECOS PAC ID: 4284999269 Enrollment ID: I20180522000856 |
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