Individual
DR. BENJAMIN BUKHOLTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 W 60TH ST, SUITE 1N, NEW YORK, NY 10023-7902
(212) 581-1300
(212) 581-4460
Mailing address
30 W 60TH ST, SUITE 1N, NEW YORK, NY 10023-7902
(212) 581-1300
(212) 581-4460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
202438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733297
—
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
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