Provider Demographics
NPI:1245064724
Name:CUKIER, ANDREW A (LMHC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:CUKIER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4822
Mailing Address - Country:US
Mailing Address - Phone:914-500-7805
Mailing Address - Fax:
Practice Address - Street 1:1150 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4822
Practice Address - Country:US
Practice Address - Phone:914-500-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health