Individual
ANNA LUKIANOV JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2488 GRAND CONCOURSE RM 417, BRONX, NY 10458-5206
(718) 584-7204
Mailing address
2488 GRAND CONCOURSE RM 417, BRONX, NY 10458-5206
(718) 584-7204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
099916
NY
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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