Konstantin Lukin
Psychologist, Clinical in Hoboken, NJ. Individual provider (NPI-1).
NPI number1457776007
StatusActive
Last updated in NPPESApr 18, 2014
Details
- NPI
- 1457776007
- Entity type
- Individual (NPI-1)
- Name
- Konstantin Lukin
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2014
- Last updated
- Apr 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00522900 | NJ | Yes |
Practice location
223 Bloomfield StSte 114
Hoboken, NJ 07030-4747
Phone 917-903-1901
Mailing address
223 Bloomfield StSte 114
Hoboken, NJ 07030-4747
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