Basic Information
Provider Information
NPI: 1710986278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUHL
FirstName: ANN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ONE SOUTH CENTRAL AVE
Address2:  
City: VALLEY STREAM
State: NY
PostalCode: 11580
CountryCode: US
TelephoneNumber: 5166323350
FaxNumber: 5166323396
Practice Location
Address1: ONE SOUTH CENTRAL AVE
Address2:  
City: VALLEY STREAM
State: NY
PostalCode: 11580
CountryCode: US
TelephoneNumber: 5166323350
FaxNumber: 5166323396
Other Information
ProviderEnumerationDate: 07/18/2005
LastUpdateDate: 12/18/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0201X197807NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology

No ID Information.


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