Individual
STACIE LURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
1936 BYRON AVE, ELMONT, NY 11003-4100
(516) 792-6797
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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