Organization
LUKIN CENTER FOR PSYCHOTHERAPY AND ADVANCEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KONSTANTIN LUKIN (PRESIDENT)
(917) 903-1901
Entity
Organization
Contact information
Practice address
20 WILSEY SQ, RIDGEWOOD, NJ 07450-3793
(201) 409-0393
Mailing address
20 WILSEY SQ, RIDGEWOOD, NJ 07450-3793
(201) 409-0393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00522900
NY
Other
Enumeration date
02/20/2014
Last updated
02/12/2025
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