Individual
DR. MARK A LUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVENUE, ROCHESTER, NY 14642-0001
(585) 273-4135
(585) 273-3637
Mailing address
601 ELMWOOD AVENUE, BOX 626, ROCHESTER, NY 14642-0001
(585) 273-4135
(585) 273-3637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25922
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
261164
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
261164-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD51947
TN
367500000X
Certified Registered Nurse Anesthetist
261164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051527759
—
AL
Enumeration date
11/03/2005
Last updated
07/22/2023
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