MEDICARE: BOBBY BUKA, M.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	223499	NY

General Provider Information

NPI Number	:	1134349954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOBBY BUKA, M.D., P.C.

Provider Business Mailing Address
First Line	:	220 FRONT ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-2033
Country	:	US
Telephone Number	:	212-385-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 FRONT ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10038-2033
Country	:	US
Telephone Number	:	212-385-3700
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. ROBERT BUKA
Credential	:	M.D.
Telephone Number	:	212-385-3700

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	03/02/2021

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