Individual
ROBERT E LUTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 GENESEE STREET, BUFFALO, NY 14203
(716) 855-2866
Mailing address
PO BOX 8000, DEPT 836, BUFFALO, NY 14267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1681641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010107807
UNIVERA
—
01
—
000511685013
BLUE SHIELD OF WESTERN NY
—
01
—
000511685017
BLUE SHIELD OF WESTERN NY
—
01
—
000525468009
BLUE SHIELD OF WESTERN NY
—
01
—
000525468011
BLUE SHIELD OF WESTERN NY
—
05
—
01131144
—
NY
01
—
040426003026
FIDELIS
—
01
—
145793FF
PREFERRED CARE
—
01
—
1608680
INDEPENDENT HEALTH
—
01
—
1681642W
WORKERS COMPENSATION
NY
01
—
300127131
RAILROAD MEDICARE
—
01
—
P00003639
RAILROAD MEDICARE
—
01
—
RB7061
MEDICARE
—
Enumeration date
05/03/2006
Last updated
05/13/2008
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