Provider Demographics
NPI:1427106244
Name:BUTMAN, MICHAEL P (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:BUTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:755 N BROADWAY STE 417
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1083
Mailing Address - Country:US
Mailing Address - Phone:914-366-5330
Mailing Address - Fax:
Practice Address - Street 1:755 N BROADWAY STE 417
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1083
Practice Address - Country:US
Practice Address - Phone:914-366-5330
Practice Address - Fax:914-366-5331
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA67440207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology