Provider Demographics
NPI:1255785440
Name:BUFFIE, CHARLIE GENE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CHARLIE
Middle Name:GENE
Last Name:BUFFIE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 EAST 70TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-9663
Mailing Address - Fax:212-746-3609
Practice Address - Street 1:1283 YORK AVENUE
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-9663
Practice Address - Fax:212-746-3609
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306275207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology