Individual
DR. VINCENT J LUVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 MCCLELLAN ST, ST CLAIRES HOSPITAL WOUND CARE CENTER, SCHENECTADY, NY 12304-1009
(518) 347-5442
(518) 347-5330
Mailing address
286 FAYVILLE RD, GALWAY, NY 12074-3426
(518) 883-3283
(518) 347-5330
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
180500-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406638001
BLUES
—
05
—
01422375
—
NY
01
—
016672
EMPIRE
—
01
—
100056652606
CDPHP
—
01
—
784649
MVP
—
Enumeration date
09/08/2005
Last updated
10/03/2007
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