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LUTHER KNOX ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7530
(716) 878-1351
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
170810
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010149001
UNIVERA
01
000510280001
BC/BS
01
0017511100001
PA MEDICAID
05
01042277
NY
01
040426000984
FIDELIS
01
I205781
IHA
Enumeration date
10/21/2006
Last updated
03/20/2019
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