Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kyle Derek Obiena Bucane

Individual provider Physical Therapist · NPI 1790597698

Mr. Kyle Derek Obiena Bucane is a Physical Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

50-15 Beach Channel Dr
New York, NY 11691
Phone: (718) 956-5656
Fax: (347) 829-3888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 054283 (NY)

Record details

NPI number1790597698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2025
Last updated in NPPESMarch 22, 2026
Certification dateMarch 22, 2026

Other providers in New York