Provider Demographics
NPI:1902858160
Name:BUSCHMAN, DARWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DARWIN
Middle Name:
Last Name:BUSCHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 DUG RD
Mailing Address - Street 2:
Mailing Address - City:ACCORD
Mailing Address - State:NY
Mailing Address - Zip Code:12404-5916
Mailing Address - Country:US
Mailing Address - Phone:212-759-6688
Mailing Address - Fax:
Practice Address - Street 1:19 DUG RD
Practice Address - Street 2:
Practice Address - City:ACCORD
Practice Address - State:NY
Practice Address - Zip Code:12404-5916
Practice Address - Country:US
Practice Address - Phone:212-759-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1563602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01395679Medicaid
NY156360OtherLICENSE
NY31F63GW821Medicare PIN
NYWGW821Medicare PIN
NY01395679Medicaid