MARYELLEN LUCKMAN NPI 1497334270

NPI Information

NPI: 1497334270
Provider Name: MARYELLEN LUCKMAN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
255 DELAWARE AVE FL 4
BUFFALO, NY
ZIP 14202
Phone: (716) 842-0440
Get Directions

Maryellen Luckman is a general practice registered nurse in Buffalo, NY. Maryellen Luckman NPI is 1497334270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 DELAWARE AVE FL 4
BUFFALO, NY
ZIP 14202-016
Phone: (716) 842-0440

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0000X	Registered Nurse	General Practice	621275	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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