Individual
PHILIP BUKBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 E 17TH ST, 7TH FLOOR, NEW YORK, NY 10003-3804
(212) 420-4412
Mailing address
36 7TH AVE, SUITE 517, NEW YORK, NY 10011-6609
(212) 420-2777
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
120303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00790845
—
NY
Enumeration date
01/10/2006
Last updated
07/24/2013
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