Individual
MR. LUKAS MAVERICK GREYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 7TH AVE FL 12, NEW YORK, NY 10001-6756
(212) 604-1730
Mailing address
40 WYCKOFF ST APT 4, BROOKLYN, NY 11201-6345
(917) 586-4563
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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