Individual
JOHN GEORGIOU BUCHLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0170
(716) 323-0297
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0170
(716) 323-0297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
196898
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
196898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010306101
UNIVERA
—
01
—
000524880001
BC/BS
—
05
—
0016886330001
—
PA
05
—
01752170
—
NY
01
—
040426001452
FIDELIS
—
01
—
IHA
4509252
—
Enumeration date
10/21/2006
Last updated
03/17/2021
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