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Contact Information

OLAF BUTCHMA, DO
78 OLD COUNTRY RD
WESTHAMPTON, NY11977-1219
 Phone: 516-365-1953
 Fax: 516-365-1475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for OLAF BUTCHMA · (Male)

NPI # 1326037474
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/20/2005
Last updated 12/13/2023 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 181777
  • NY Medicaid 01367591
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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