Organization
MARY RUTH BUCHNESS MD DERMATOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYRUTH BUCHNESS MD (OWNER)
(212) 822-3515
Entity
Organization
Contact information
Practice address
560 BROADWAY RM 406, NEW YORK, NY 10012-3946
(212) 822-3515
Mailing address
560 BROADWAY RM 406, NEW YORK, NY 10012-3946
(212) 822-3515
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
156839
NY
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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