Individual
JOHN C BUCUVALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST FL 10, NEW YORK, NY 10029-6501
(212) 659-8060
Mailing address
1 GUSTAVE L LEVY PL # 1104, NEW YORK, NY 10029-6504
(212) 659-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
292591
NY
Other
Enumeration date
06/27/2006
Last updated
05/06/2019
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