Individual provider · Type 1 NPI

Kyle Derek Obiena Bucane

Physical Therapist · New York, NY

NPI number 1790597698 Active

Practice location

50-15 Beach Channel Dr
New York, NY 11691

Fax (347) 829-3888

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X054283 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1790597698

Kyle Derek Obiena Bucane's National Provider Identifier is 1790597698, issued on Jan 27, 2025. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in New York, NY. The record was last updated on Mar 22, 2026.