Provider Demographics
NPI:1609813427
Name:KUREK, LUISA S (MD)
Entity Type:Individual
Prefix:
First Name:LUISA
Middle Name:S
Last Name:KUREK
Suffix:
Gender:F
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:PO BOX 3478
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14240-3478
Mailing Address - Country:US
Mailing Address - Phone:716-634-8800
Mailing Address - Fax:716-634-8987
Practice Address - Street 1:3112 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1904
Practice Address - Country:US
Practice Address - Phone:716-634-8800
Practice Address - Fax:716-634-8987
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220552207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02153235Medicaid
NYH41826Medicare UPIN
NYRA5322Medicare ID - Type Unspecified