Most Relevant Information
Provider Data
| NPI Number: | 1003077686 |
| Provider Name: | BERNARD SAMUEL BUCHOLZ OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 014378 |
Most Important Dates
| Enumeration Date: | 06/17/2008 |
| Last Updated: | 11/22/2008 |
Provider Practice Location
1225 OCEAN PARKWAY
APT 5M
BROOKLYN
NY
112305162
Practice Location Phone/Fax
| Phone: | 7182532972 |
| Fax: |
Provider Mailing Location
1225 OCEAN PARKWAY
APT 5M
BROOKLYN
NY
112305162
Provider Mailing Phone/Fax
| Phone: | 7182532972 |
| Fax: |