Provider Demographics
NPI:1346599495
Name:CUTHBERT, DAVID A (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:A
Last Name:CUTHBERT
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 1:3850 SAUNDERS SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:SANBORN
Mailing Address - State:NY
Mailing Address - Zip Code:14132-9128
Mailing Address - Country:US
Mailing Address - Phone:716-898-2800
Mailing Address - Fax:716-844-5750
Practice Address - Street 1:3850 SAUNDERS SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:SANBORN
Practice Address - State:NY
Practice Address - Zip Code:14132-9128
Practice Address - Country:US
Practice Address - Phone:716-898-2800
Practice Address - Fax:716-844-5750
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266407-12085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03504556Medicaid
J400077887Medicare PIN