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Individual

DR. DANIEL BUCHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 CLOVE ROAD, STATEN ISLAND, NY 10301-3627
(718) 816-6440
(718) 816-3190
Mailing address
55 WATER ST, 2ND FLOOR, CREDENTIALING, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
210228
NY
207ND0101X
MOHS-Micrographic Surgery Physician
210228
NY
207ND0900X
Dermatopathology Physician
210228
NY
207NP0225X
Pediatric Dermatology Physician
210228
NY
207NS0135X
Procedural Dermatology Physician
210228
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01889069
NY
Enumeration date
03/31/2006
Last updated
09/09/2019
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