Individual
DR. MARK RICHARD LUKOWITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
25 HACKETT BLVD, DEPARTMENT OF PSYCHIATRY, ALBANY, NY 12208-3462
(518) 262-5511
Mailing address
159 S ALLEN ST, ALBANY, NY 12208-2126
(814) 574-7477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019739-1
NY
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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