Organization
ROBERT G FUGITT, MD & DAVID B LILLIE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G FUGITT M.D. (PRESIDENT)
(716) 873-3828
Entity
Organization
Contact information
Practice address
3800 DELAWARE AVE, SUITE 104, KENMORE, NY 14217-1094
(716) 873-3828
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010058801
UNIVERA
NY
01
—
00010104801
UNIVERA
NY
01
—
005006071
BLUE CROSS & BLUE SHIELD
NY
01
—
005082205
BLUE CROSS & BLUE SHIELD
NY
05
—
00607167
—
NY
05
—
00653136
—
NY
01
—
040426000254
FIDELIS CARE
NY
01
—
040426001716
FIDELIS CARE
NY
01
—
120597-0
WORKERS COMPENSATION
NY
01
—
145776-1
WORKERS COMPENSATION
NY
01
—
1900426
INDEPENDENT HEALTH
NY
01
—
1901010
INDEPENDENT HEALTH
NY
01
—
45488
GHI
NY
01
—
99321
GHI
NY
Enumeration date
04/10/2006
Last updated
08/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us