DR. BENJAMIN BUKHOLTS M.D. NPI 1710087929

NPI Information

NPI: 1710087929
Provider Name: DR. BENJAMIN BUKHOLTS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
30 W 60TH ST
SUITE 1N
NEW YORK, NY
ZIP 10023
Phone: (212) 581-1300
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DR. Benjamin Bukholts, M.D. is a specialist in New York, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Benjamin Bukholts, M.D. NPI is 1710087929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 W 60TH ST
SUITE 1N
NEW YORK, NY
ZIP 10023-902
Phone: (212) 581-1300
Fax: (212) 581-4460

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		202438	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	478983	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	G45244	MEDICARE UPIN	NEW YORK
3	01733297	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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