Provider Demographics
NPI:1285217596
Name:BUCH, VAIDEHI (NP)
Entity Type:Individual
Prefix:
First Name:VAIDEHI
Middle Name:
Last Name:BUCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 10TH AVE APT 13F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7047
Mailing Address - Country:US
Mailing Address - Phone:805-717-7784
Mailing Address - Fax:
Practice Address - Street 1:25 W 45TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4902
Practice Address - Country:US
Practice Address - Phone:646-849-4146
Practice Address - Fax:646-849-5096
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017239363LF0000X
NY348460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily