# FYRKLOVER MIND REFLECTION MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316453509
- **Authorized official:** JURAJ LUKAC MD (CEO)
- **Authorized official phone:** (347) 857-0755

## Contact information

- **Practice address:** 184 E 70TH ST, NEW YORK, NY 10021-5154
- **Practice address phone:** (347) 857-0755
- **Mailing address:** 37 SHERMAN AVE, STATEN ISLAND, NY 10301-2301
- **Mailing address phone:** (347) 857-0755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 249039-1 | NY | Yes |

## Other

- **Enumeration date:** 12/25/2017
- **Last updated:** 12/25/2017
