Buccinna, Michelle

Buccinna, Michelle is an individual health care provider with primary practice located at 1000 Montauk Hwy Good Samaritan Hospital Medical Center, West Islip NY 11795-4927. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Buccinna, Michelle can be contacted via phone (631) 376-4109.

Contact Information

Primary practice address
1000 Montauk Hwy Good Samaritan Hospital Medical Center West Islip NY 11795-4927
Phone: (631) 376-4109
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 010321 New York

Profile Details

NPI number 1457523029
LBN Legal business name Buccinna, Michelle
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Mar 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457523029 NPPES
New York Other 010321 LISCENSE

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