Bukberg, Philip
Bukberg, Philip is an individual health care provider with primary practice located at 317 E 17Th St 7Th Floor, New York NY 10003-3804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Bukberg, Philip can be contacted via phone (212) 420-4412.Contact Information
Primary practice address
317 E 17Th St 7Th Floor
New York NY 10003-3804
Phone: (212) 420-4412
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 120303 | New York |
Profile Details
| NPI number | 1164401055 |
|---|---|
| LBN Legal business name | Bukberg, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jul 24th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164401055 | NPPES |
| New York | MEDICAID | 00790845 |
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