Individual
STEVEN G KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
(631) 864-2143
Mailing address
987 W JERICHO TPKE, SMITHTOWN, NY 11787-3203
(631) 864-9100
(631) 864-2143
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
135412-2
NY
2085N0904X
Nuclear Radiology Physician
135412-2
NY
2085R0202X
Diagnostic Radiology Physician
Primary
135412-2
NY
2085U0001X
Diagnostic Ultrasound Physician
135412-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00709811
—
NY
01
—
976391
BCBS
NY
Enumeration date
03/31/2006
Last updated
03/31/2015
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