Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | NOO2613 | NY |
N | 2081S0010X | Sports Medicine | NOO2613 | NY |
N | 213ES0000X | Sports Medicine | NOO2613 | NY |
NPI | 1629161526 |
---|---|
Provider Name | Dr. Arthur Saul Lukoff |
First Address | Ellenville, NY 12428-2309 |
Second Address | Ellenville, NY 12428-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 09/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000471852002 | HEALTHNOW (01) | NY |
00418488 | (05) | NY |
200010254 | MV[P (01) | NM |
200407937 | UNITED HEALTHCARE (01) | NY |
PJ082 | EMPIRE BC/BS (01) | NY |
T50820 | (02) | NY |