Organization
MARY RUTH BUCHNESS MD DERMATOLOGIST PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN CARRERO (PRACTICE ADMINISTRATOR)
(212) 822-3515
Entity
Organization
Contact information
Practice address
560 BROADWAY, SUITE 406, NEW YORK, NY 10012-3938
(212) 822-3515
(888) 317-8328
Mailing address
560 BROADWAY, SUITE 406, NEW YORK, NY 10012-3938
(212) 822-3515
(888) 317-8328
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
156839
NY
Other
Enumeration date
04/01/2009
Last updated
01/11/2016
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