MEDICARE: TAPAN BUCH

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	207RC0000X	Cardiovascular Disease Physician	319910	NY

General Provider Information

NPI Number	:	1265970412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAPAN BUCH

Provider Business Mailing Address
First Line	:	104 STONEBRIDGE CT
Second Line	:
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5513
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 BRENTWOOD RD
Second Line	:
City	:	BAY SHORE
State	:	NY
Zip	:	11706-8031
Country	:	US
Telephone Number	:	631-591-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	05/10/2023

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Directions to “ TAPAN BUCH ” Practice Location

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