Individual
AMY LUKACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 COURT ST, 204, UTICA, NY 13502-4233
(315) 792-7626
Mailing address
1656 CHAMPLIN AVE, 204, UTICA, NY 13502-4830
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401293
NY
Other
Enumeration date
09/19/2010
Last updated
09/08/2016
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