Individual
LEONID BUKHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2256 2ND AVE FL 2, NEW YORK, NY 10029-2202
(212) 758-7777
(212) 858-0657
Mailing address
50 LEXINGTON AVE, SUITE 21H, NEW YORK, NY 10010-2935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
216806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02635427
—
NY
Enumeration date
08/19/2006
Last updated
01/23/2017
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