Provider Demographics
NPI:1629161526
Name:LUKOFF, ARTHUR SAUL (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:SAUL
Last Name:LUKOFF
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428-2309
Mailing Address - Country:US
Mailing Address - Phone:845-647-3870
Mailing Address - Fax:
Practice Address - Street 1:11 LAKE DR
Practice Address - Street 2:
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428-2309
Practice Address - Country:US
Practice Address - Phone:845-647-3060
Practice Address - Fax:845-647-3060
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO2613213EP1101X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY200407937OtherUNITED HEALTHCARE
NY00418488Medicaid
NYPJ082OtherEMPIRE BC/BS
NY000471852002OtherHEALTHNOW
NM200010254OtherMVP
NYT50820Medicare UPIN
NYWAW431Medicare PIN
NY3854750001Medicare NSC