1891734810 NPI number — HAL N. BUCH, MD PC

Table of content: (NPI 1891734810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891734810 NPI number — HAL N. BUCH, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAL N. BUCH, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891734810
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
117 MARYS AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12401-5849
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-331-8146
Provider Business Mailing Address Fax Number:
845-331-3314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 MARYS AVE
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12401-5849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-331-8146
Provider Business Practice Location Address Fax Number:
845-331-3314
Provider Enumeration Date:
06/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BUCH
Authorized Official First Name:
HAL
Authorized Official Middle Name:
N
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
845-331-8146

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  193060 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P686325 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01619465 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10030743 . This is a "CDPHP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 5485195 . This is a "USHC NON-HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0104415 . This is a "GHI PPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 107251 . This is a "MVP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1288119 . This is a "USHC HMO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000492507002 . This is a "HEALTHNOW NENY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 121718 . This is a "WELLCARE OF NY" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4V9003 . This is a "EMPIRE BC BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com