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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508542069

Thomas Max Bucek, MD is a Student in an Organized Health Care Education/Training Program in Staten Island, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave Dept OF Medicine Villa Bldg 1ST Fl
Staten Island, NY 10310
Phone: (718) 818-2419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508542069
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

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