Organization
OUT EAST MEDICAL
Active
Organization
OUT EAST MEDICAL
Active
Parent organization
BOBBY BUKA, M.D., P.C.
Other names
The Dermatology Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOBBY BUKA, M.D., P.C.
Authorized official
ROBERT BUKA MD (CEO)
(212) 385-3700
Entity
Organization
Contact information
Practice address
3531 LONG BEACH RD, OCEANSIDE, NY 11572-5700
(212) 385-3700
Mailing address
1027 46TH AVE, LONG ISLAND CITY, NY 11101-5245
(212) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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