# MARY RUTH BUCHNESS MD DERMATOLOGIST PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235427022
- **Authorized official:** MARYRUTH BUCHNESS MD (OWNER)
- **Authorized official phone:** (212) 822-3515

## Contact information

- **Practice address:** 560 BROADWAY RM 406, NEW YORK, NY 10012-3946
- **Practice address phone:** (212) 822-3515
- **Mailing address:** 560 BROADWAY RM 406, NEW YORK, NY 10012-3946
- **Mailing address phone:** (212) 822-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 156839 | NY | Yes |

## Other

- **Enumeration date:** 07/14/2011
- **Last updated:** 07/14/2011