33D1064013 CLIA NUMBER - BUKHMAN MD PC

Laboratory Demographics

CLIA Number: 33D1064013

Facility Name: BUKHMAN MD PC

Facility Address:
2256 SECOND AVE, 3RD FLOOR
NEW YORK, NY
ZIP 10029
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Facility Phone Number: 917 593-1101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1013025782

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	33D1064013
LAB Type	Physician Office
Facility Name	BUKHMAN MD PC
Street	2256 SECOND AVE, 3RD FLOOR
City	NEW YORK
State	NY
ZIP	10029
Phone	917 593-1101
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024