Buscaglia, Jonathan Michael

Buscaglia, Jonathan Michael is an individual health care provider with primary practice located at 3 Technology Drive Stony Brook University Physicians, East Setauket NY 11733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Buscaglia, Jonathan Michael can be contacted via phone (631) 444-5220.

Contact Information

Primary practice address
3 Technology Drive Stony Brook University Physicians East Setauket NY 11733
Phone: (631) 444-5220
Fax: (631) 444-5225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0063684 Maryland
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X D63684 Maryland

Profile Details

NPI number 1124078589
LBN Legal business name Buscaglia, Jonathan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 3rd, 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 1124078589 NPPES
Maryland MEDICAID 409447600

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