Bucobo, Juan Carlos

Bucobo, Juan Carlos is an sole proprietor health care provider with primary practice located at Stony Brook University Medical Center Health Science Center T17-060, Stony Brook NY 11794-8173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bucobo, Juan Carlos can be contacted via phone (631) 444-2119.

Contact Information

Primary practice address
Stony Brook University Medical Center Health Science Center T17-060 Stony Brook NY 11794-8173
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 257653 New York

Profile Details

NPI number 1982892592
LBN Legal business name Bucobo, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2007
Last updated Jul 21st, 2010 - about 15 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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