Doctor Name: | DR. ARTHUR SAUL LUKOFF |
NPI Number: | 1629161526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | NOO2613 |
Business Practice Address: | 11 Lake Dr Ellenville, NY - 124282309 |
Business Phone Number: | 8456473060 |
Business Fax Number: | 8456473060 |
Mailing Address: | 11 Lake Dr, ELLENVILLE |
State: | NY |
Postal Code: | 124282309 |
Phone Number: | 8456473870 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0000X |
License Number: | NOO2613 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Sports Medicine |
Taxonomy Definition: |