Provider Demographics
NPI:1679729701
Name:KUCHNER, EUGENE F (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:F
Last Name:KUCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2801
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-0860
Mailing Address - Country:US
Mailing Address - Phone:631-689-8884
Mailing Address - Fax:631-689-0250
Practice Address - Street 1:10 TALLMADGE GATE
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-1418
Practice Address - Country:US
Practice Address - Phone:631-689-8884
Practice Address - Fax:631-689-0250
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY112597207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery