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NPI Code Detail

MEDICARE: DR. SANFORD BUCH DDS

MEDICARE:  DR. SANFORD  BUCH  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)026714NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700901642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANFORD BUCH DDS
Provider Business Mailing Address
First Line : 279 MAIN ST
Second Line : SUITE 204
City : NEW PALTZ
State : NY
Zip : 12561-1623
Country : US
Telephone Number : 845-255-3046
Fax Number : 845-255-0236
Provider Business Practice Location Address
First Line : 1824 MADISON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10035-3832
Country : US
Telephone Number : 212-423-4400
Fax Number : 212-289-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 09/29/2015

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Directions to “ DR. SANFORD BUCH DDS” Practice Location

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