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NPI Code Detail

MEDICARE: LUT KENT M.D.

MEDICARE: LUT KENT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician246363NY
2208M00000XHospitalist Physician246363NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508974569
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUT KENT M.D.
Provider Business Mailing Address
First Line : 2649 STRANG BLVD STE 304
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-2938
Country : US
Telephone Number : 646-745-6369
Fax Number :
Provider Business Practice Location Address
First Line : 685 WHITE PLAINS RD
Second Line :
City : EASTCHESTER
State : NY
Zip : 10709-5545
Country : US
Telephone Number : 914-787-4100
Fax Number : 914-787-4199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 10/17/2025

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Directions to “ LUT KENT M.D.” Practice Location

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