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Individual

DR. FRAN SUE LUCKOM NURNBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
444 E 82ND ST, APT 12V, NEW YORK, NY 10028-5903
(212) 734-1926
(212) 535-6219
Mailing address
444 E 82ND ST, APT 12V, NEW YORK, NY 10028-5903
(212) 734-1926
(212) 535-6219

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NYS7348
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007096051
AETNA
05
01867101
NY
01
7330723
GHI
01
96690
CIGNA
Enumeration date
03/02/2006
Last updated
11/01/2007
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