Individual
MELISSA BUCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 1ST AVE RM 345A, NEW YORK, NY 10016-9196
(212) 263-6559
Mailing address
7646 175TH ST, FRESH MEADOWS, NY 11366-1510
(718) 551-8482
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
305101
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
06/11/2020
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