Individual
DR. JEFFRY LURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
847 GROVENORS CORNERS RD, CENTRAL BRIDGE, NY 12035-2003
(518) 296-8524
(518) 296-8536
Mailing address
847 GROVENORS CORNERS RD, CENTRAL BRIDGE, NY 12035-2003
(518) 296-8524
(518) 296-8536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
004773
NY
103TC0700X
Clinical Psychologist
Primary
004773
NY
103TF0200X
Forensic Psychologist
004773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S-04773-8B
WORKER'S COMPENSATION
NY
Enumeration date
07/04/2006
Last updated
07/20/2008
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