Individual
DR. LOUBERT STEVEN SUDDABY
Active
Individual
DR. LOUBERT STEVEN SUDDABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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