National Provider Identifier
Loubert Steven Suddaby, MD
Loubert Steven Suddaby, MD is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician in Hamburg, NY and a listed phone number of (716) 648-6875.
Profile Overview
- NPI
- 1609869783
- Provider Type
- Individual
- Primary Specialty
- Neurological Surgery Physician
- Enumeration Date
- August 24, 2005
- Last Updated
- June 26, 2019
Practice Location
- 4855 Camp RD Ste 400
- Hamburg, NY 14075-2600
Phone: (716) 648-6875
Specialties
- Neurological Surgery Physician (207T00000X)
Full Record
- NPI
- 1609869783
- Entity Type
- Individual
- Last Name
- Suddaby
- First Name
- Loubert
- Middle Name
- Steven
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 4855 Camp RD Ste 400
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-2600
- Mailing Country
- US
- Mailing Phone
- (716) 648-6875
- Mailing Fax
- (716) 648-6939
- Practice Street Address
- 4855 Camp RD Ste 400
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-2600
- Practice Country
- US
- Practice Phone
- (716) 648-6875
- Practice Fax
- (716) 648-6939
- Enumeration Date
- August 24, 2005
- Last Updated
- June 26, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neurological Surgery Physician (207T00000X)
- Other Identifiers
- 0002052461 (NY, Univera), 000523004003 (NY, BCBS), 111253CG (NY, Preferred Care), 0607039 (NY, Independent Health), 140003497 (NY, Rr Medicare), 6001373 (NY, Group Health Inc)