Most Relevant Information
Provider Data
| NPI Number: | 1003669813 |
| Provider Name: | TALYA BUXBAUM |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 031708-01 |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
462 1ST AVE
NEW YORK
NY
100169196
Practice Location Phone/Fax
| Phone: | 5163093239 |
| Fax: |
Provider Mailing Location
220 E 72ND ST APT 27D
NEW YORK
NY
100214523
Provider Mailing Phone/Fax
| Phone: | 5163093239 |
| Fax: |