National Provider Identifier
Maryellen Luckman
Maryellen Luckman is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Buffalo, NY and a listed phone number of (716) 842-0440.
Profile Overview
- NPI
- 1497334270
- Provider Type
- Individual
- Primary Specialty
- General Practice Registered Nurse
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
Practice Location
- 255 Delaware Ave Fl 4
- Buffalo, NY 14202-2016
Phone: (716) 842-0440
Specialties
- General Practice Registered Nurse (163WG0000X)
Full Record
- NPI
- 1497334270
- Entity Type
- Individual
- Last Name
- Luckman
- First Name
- Maryellen
- Mailing Street Address
- 255 Delaware Ave Fl 4
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2016
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Practice Street Address
- 255 Delaware Ave Fl 4
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-2016
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Registered Nurse (163WG0000X)