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Organization

FYRKLOVER MIND REFLECTION MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JURAJ LUKAC MD (CEO)
(347) 857-0755
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
12/25/2017
Last updated
12/25/2017
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