Lackner, Jeffrey Mark

Lackner, Jeffrey Mark is an sole proprietor health care provider with primary practice located at 462 Grider St Room G208, Buffalo NY 14215-3021. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Lackner, Jeffrey Mark can be contacted via phone (716) 898-5671.

Contact Information

Primary practice address
462 Grider St Room G208 Buffalo NY 14215-3021
Phone: (716) 898-5671
Fax: (716) 898-3040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 012051 New York

Profile Details

NPI number 1821293168
LBN Legal business name Lackner, Jeffrey Mark
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821293168 NPPES
New York Other 00025302101 UNIVERA
New York Other DF1724 UNIVERA
New York Other 000523299002 UNIVERA
New York Other 6108856 UNIVERA

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