Provider Demographics
NPI:1891734810
Name:HAL N. BUCH, MD PC
Entity Type:Organization
Organization Name:HAL N. BUCH, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:BUCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-331-8146
Mailing Address - Street 1:117 MARYS AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-5849
Mailing Address - Country:US
Mailing Address - Phone:845-331-8146
Mailing Address - Fax:845-331-3314
Practice Address - Street 1:117 MARYS AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-5849
Practice Address - Country:US
Practice Address - Phone:845-331-8146
Practice Address - Fax:845-331-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193060207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP686325OtherOXFORD
NY01619465Medicaid
NY10030743OtherCDPHP
NY5485195OtherUSHC NON-HMO
NY0104415OtherGHI PPO
NY107251OtherMVP
NY1288119OtherUSHC HMO
NY000492507002OtherHEALTHNOW NENY
NY121718OtherWELLCARE OF NY
NY4V9003OtherEMPIRE BC BS
NY0104415OtherGHI PPO
NY=========OtherGHI HMO
NY000492507002OtherHEALTHNOW NENY
NY1288119OtherUSHC HMO
NY=========OtherLOCAL 825 OPERATING
NY=========OtherKINGSTON TRUST NAT'L HLTH