Provider Demographics
NPI:1780833251
Name:DELUCA, STEVEN JUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JUSTIN
Last Name:DELUCA
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 1:230 NORTH ST APT D33
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14201-1429
Mailing Address - Country:US
Mailing Address - Phone:954-205-6264
Mailing Address - Fax:
Practice Address - Street 1:230 NORTH ST APT D33
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1429
Practice Address - Country:US
Practice Address - Phone:954-205-6264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program