Physician Compare National (NPI:1477653046)

HEALTHCARE PROVIDER: RICHARD FRANK LUTINSKI D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477653046
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496830069
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080306000187
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LUTINSKI
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	F
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	5111 N CATHERINE ST
	Group Practice or individual's line 1 address
City	PLATTSBURGH
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	129013379
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5185638181
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330250
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y