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Individual
MR. JEFFREY LACKOWITZ
Active
Individual
MR. JEFFREY LACKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014079-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102491
VYTRA
NY
01
—
1380287
UNITED HEALTH CARE
NM
01
—
1437802
FIRST HEALTH
NY
01
—
20593P
HIP
NY
01
—
2284678
AETNA
NY
01
—
5442410
AETNA
NY
01
—
940212
HERITAGE
NY
01
—
AZ00653
MDNY
NY
01
—
P1948798
OXFORD
NY
01
—
Q49881
EMPIRE BLUE CROSS
NY
01
—
SF0003106
SELECT PRO
NY
Enumeration date
09/01/2006
Last updated
02/13/2008
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