Individual
DR. LOUBERT STEVEN SUDDABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4855 CAMP RD STE 400, HAMBURG, NY 14075-2600
(716) 648-6875
(716) 648-6939
Mailing address
4855 CAMP RD STE 400, HAMBURG, NY 14075-2600
(716) 648-6875
(716) 648-6939
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
193722
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002052461
UNIVERA
NY
01
—
000523004003
BCBS
NY
01
—
0607039
INDEPENDENT HEALTH
NY
01
—
111253CG
PREFERRED CARE
NY
01
—
140003497
RR MEDICARE
NY
01
—
6001373
GROUP HEALTH INC
NY
Enumeration date
08/24/2005
Last updated
06/26/2019
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