Healthcare Provider Details

I. General information

NPI: 1528334489
Provider Name (Legal Business Name): CHRISTOPHER J BUX DPT, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2012
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 1ST ST
MINEOLA NY
11501-3957
US

IV. Provider business mailing address

1250 WATERS PL SUITE 903
BRONX NY
10461-2720
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-0333
  • Fax:
Mailing address:
  • Phone: 718-652-0003
  • Fax: 718-652-0815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number033593
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: