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Individual

MS. BERNICE ANN LUKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-R

Contact information

Practice address
1 TRAPPER LN, LEVITTOWN, NY 11756-5230
(516) 622-6312
Mailing address
1 TRAPPER LN, LEVITTOWN, NY 11756-5230
(516) 622-6312

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R028533-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7481776
GHI
NY
01
P8429083
OXFORD
NY
Enumeration date
04/20/2007
Last updated
07/08/2007
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