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1821293168
JEFFREY MARK LACKNER
BUFFALO, NY
NPI
1821293168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
(Licence: NY 012051)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- JEFFREY MARK LACKNER Psy.D.
462 GRIDER ST ROOM G208
BUFFALO, NY 14215-3021
Phone number: 716-898-5671
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Mailing Address
-- JEFFREY MARK LACKNER Psy.D.
PO BOX 93
AMHERST, NY 14226-0093
Phone number: 716-898-5671
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