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Individual

IVAR LUPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRC

Contact information

Practice address
326 ORCHARD PARK RD, WEST SENECA, NY 14224-2635
(716) 828-1719
(716) 828-9275
Mailing address
227 THORN AVENUE, SPECTRUM HUMAN SERVICES, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
022364
NY

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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