Individual
BRUCE BUCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3424
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-3424
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1599641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040148307
UNIVERA
—
01
—
00040148308
UNIVERA
—
01
—
000402906012
BLUE SHIELD OF WESTERN NY
—
01
—
000402906013
BLUE SHIELD OF WESTERN NY
—
05
—
01256968
—
NY
01
—
140849FF
PREFERRED CARE
—
01
—
1611324
INDEPENDANT HEALTH
—
01
—
P00375057
RAILROAD MEDICARE
—
01
—
P00384940
RAILROAD MEDICARE
—
01
—
R1599646
WORKERS COMPENSATION
NY
Enumeration date
06/09/2006
Last updated
05/19/2008
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