MARYELLEN LUCKMAN
NPI 1497334270
Registered Nurse - General Practice in Buffalo, NY

Q: What is Maryellen Luckman's NPI number?

The NPI number for Maryellen Luckman is 1497334270. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Maryellen Luckman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellen Luckman was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2021

255 DELAWARE AVE FL 4, BUFFALO, NY 14202(716) 842-0440 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maryellen Luckman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYELLEN LUCKMAN (NPI 1497334270) is an individual general practice provider in Buffalo, New York, licensed in New York (621275) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1497334270

Entity TypeIndividualFemale

Primary Taxonomy163WG0000X

Provider Legal NameMARYELLEN LUCKMAN

Location Address255 DELAWARE AVE FL 4Buffalo, NY 14202-2016

Mailing Address255 Delaware Ave Fl 4Buffalo, NY 14202-2016 · (716) 842-0440

Phone(716) 842-0440

Sole ProprietorNo

Enumeration DateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1497334270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers

Taxonomy Code163WG0000X

License✔ Licensed in NY · 621275

255 DELAWARE AVE FL 4, Buffalo, NY 14202

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY M BURSIE

Case Manager/Care Coordinator

255 DELAWARE AVE FL 4
BUFFALO, NY 14202

Erie County (716) 842-0440

LAUREN DAMSTETTER LMSW

Counselor (Mental Health)

255 DELAWARE AVE FL 4
BUFFALO, NY 14202

Erie County (716) 842-0440

KRYSTAL STARR KETTER-FRANKLIN RN

Registered Nurse

255 DELAWARE AVE FL 4
BUFFALO, NY 14202

Erie County (716) 842-0440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryellen Luckman's NPI number?

The NPI number for Maryellen Luckman is 1497334270. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Maryellen Luckman located?

Maryellen Luckman practices at 255 Delaware Ave Fl 4, Buffalo, NY 14202. The listed phone number is (716) 842-0440.

What is Maryellen Luckman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Maryellen Luckman was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.