Butta, Eugene G

Butta, Eugene G is an individual health care provider with primary practice located at 225 Froehlich Farm Blvd , Woodbury NY 11797-2922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Butta, Eugene G can be contacted via phone (516) 364-5400.

Contact Information

Primary practice address
225 Froehlich Farm Blvd Woodbury NY 11797-2922
Phone: (516) 364-5400
Fax: (516) 677-3653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0039731 New York

Profile Details

NPI number 1447298310
LBN Legal business name Butta, Eugene G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 21st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447298310 NPPES
New York MEDICAID 01271392

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