Individual
MAURICE LUCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-3800
Mailing address
1400 NOYES ST, UTICA, NY 13502-3854
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
733009
NY
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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