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Individual

MR. MAKSYM LIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
7620 BAY PKWY, SUITE 1C, BROOKLYN, NY 11214-1532
(516) 313-6268
Mailing address
231 GRANT AVE, UNIT 18, POMPTON LAKES, NJ 07442-1103
(516) 313-6268

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5511
NY

Other

Enumeration date
12/16/2010
Last updated
07/25/2013
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