Provider Demographics
NPI:1962068999
Name:TUCHMAN, BRUCE M (PHD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:M
Last Name:TUCHMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15A E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5903
Mailing Address - Country:US
Mailing Address - Phone:212-353-2741
Mailing Address - Fax:
Practice Address - Street 1:15A E 10TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5903
Practice Address - Country:US
Practice Address - Phone:212-353-2741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist