Individual
LUTHER WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
134 E 73RD ST, NEW YORK, NY 10021-4208
(212) 288-1151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
105856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00412446
—
NY
Enumeration date
09/17/2008
Last updated
09/17/2008
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