Provider Demographics
NPI:1598841249
Name:LUSKIN, MARCIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:
Last Name:LUSKIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:SILVERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC
Mailing Address - Street 1:5644 NETHERLAND AVE
Mailing Address - Street 2:APT. 2G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-1780
Mailing Address - Country:US
Mailing Address - Phone:718-432-2727
Mailing Address - Fax:718-432-5855
Practice Address - Street 1:5644 NETHERLAND AVE
Practice Address - Street 2:APT. 2G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-1780
Practice Address - Country:US
Practice Address - Phone:718-432-2727
Practice Address - Fax:718-432-5855
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003487101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health