Provider Demographics
NPI:1336117860
Name:LLUGANY, OSCAR J (MD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:J
Last Name:LLUGANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 AMSDELL RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5835
Mailing Address - Country:US
Mailing Address - Phone:716-649-9000
Mailing Address - Fax:716-649-9005
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-828-2399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1157612085B0100X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00673643Medicaid
NY040426000212OtherFIDELIS CARE OF NEW YORK
NY146160FFOtherPREFERRED CARE
NY300080524OtherRR MEDICARE
NY1609206OtherINDEPENDENT HEALTH
NY00026366406OtherUNIVERA HEALTHCARE
NY000507619006OtherBCBS
NY300080524OtherRR MEDICARE
NYRA1916Medicare PIN
NY1609206OtherINDEPENDENT HEALTH
NY146160FFOtherPREFERRED CARE