THOMAS LUTRI THOMAS LUTRI, NPI 1679809354 — NEW YORK (NY)

NPI 1679809354

10+ Years Experience Individual

THOMAS LUTRI THOMAS LUTRI

10/30/2009
PROVIDER ENUMERATION DATE
10/30/2009
LAST UPDATE DATE
1679809354
NPI NUMBER

About THOMAS LUTRI

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

THOMAS LUTRI is a provider established in NEW YORK, NY. The NPI number of THOMAS LUTRI is 1679809354 and was assigned on 10/30/2009. The practitioners primary taxonomy code is: 208D00000X with license number: 157017 NY .

Mailing address

  • City: NEW YORK
  • State: NY
  • Postal code: 100102612
  • Phone: 2128420226
  • Fax: 2126851792
  • Address: 20 WATERSIDE PLZ
  • Address 2: SUITE A

Primary Practice Address

  • Region : NEW YORK, NY
  • NPI : 1679809354
  • Phone : 2128420226
  • Fax : 2126851792
  • Postalcode : 100102612
  • Address : 20 WATERSIDE PLZ SUITE A

Provider taxonomy - General Practice

  • Taxonomy code: 208D00000X
  • License number: 157017
  • License state: NY

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Contacts:

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  • THOMAS LUTRI THOMAS LUTRI
  • Address : 20 WATERSIDE PLZ SUITE A
  • Region : NEW YORK, NY
  • NPI : 1679809354
  • Phone : 2128420226
  • Fax : 2126851792
  • Postalcode : 100102612

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address20 WATERSIDE PLZ
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSUITE A
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameNEW YORK
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameNY
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code100102612
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2128420226
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number2126851792
The fax number associated with the location address of the provider being identified.
NPI1679809354
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1208D00000X
Provider Enumeration Date10/30/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated10/30/2009
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)THOMAS LUTRI
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address20 WATERSIDE PLZ
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE A
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameNEW YORK
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameNY
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code100102612
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2128420226
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number2126851792
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1208D00000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1General Practice
Provider License Number 1157017
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1NY
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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