Doctor Name: | RUDOLF D BUCCI |
NPI Number: | 1003954140 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 334059 |
Business Practice Address: | 928 French Rd Ste B Cheektowaga, NY - 142273632 |
Business Phone Number: | 7166682592 |
Business Fax Number: | 7166681383 |
Mailing Address: | 7 Sugarbush Ln, LANCASTER |
State: | NY |
Postal Code: | 140863318 |
Phone Number: | 7166560565 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 334059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |