Provider Demographics
NPI:1508010224
Name:LEUTHE, SCOTT DAVID (NP)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DAVID
Last Name:LEUTHE
Suffix:
Gender:M
Credentials:NP
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Mailing Address - Street 1:908 NIAGARA FALLS BLVD
Mailing Address - Street 2:STE 208
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2019
Mailing Address - Country:US
Mailing Address - Phone:716-692-3302
Mailing Address - Fax:716-362-9518
Practice Address - Street 1:4925 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4000
Practice Address - Country:US
Practice Address - Phone:716-839-3333
Practice Address - Fax:716-839-3338
Is Sole Proprietor?:No
Enumeration Date:2008-11-07
Last Update Date:2024-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY302555363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health