Provider Demographics
NPI:1851394811
Name:LUTHRINGER, MYRON O (MD)
Entity Type:Individual
Prefix:
First Name:MYRON
Middle Name:O
Last Name:LUTHRINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4850 BROAD RD
Mailing Address - Street 2:STE 2C
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13215-5103
Mailing Address - Country:US
Mailing Address - Phone:315-492-5915
Mailing Address - Fax:315-492-5210
Practice Address - Street 1:4850 BROAD RD
Practice Address - Street 2:STE 2C
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13215-5103
Practice Address - Country:US
Practice Address - Phone:315-492-5915
Practice Address - Fax:315-492-5210
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY175419207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E42879Medicare UPIN