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NPI Code Detail

MEDICARE: MICHAEL T PUGLIESE M.D.

MEDICARE: MICHAEL T PUGLIESE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0205XPediatric Endocrinology Physician141399NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P2552217OTHERNYOXFORD HEALTH PLAN
24248303OTHERNYAETNA MANAGED CARE
37P4802OTHERNYBLUE CROSS BLUE SHIELD
4AA48406OTHERNYMDNY
549083OTHERNYVYTRA HEALTHCARE
6040426011085OTHERNYFIDELIS
72399869OTHERNYGHI
8359817OTHERNYUNITEDHEALTHCARE
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
100340942OTHERNYCIGNA
1133-00335OTHERNYUHC CHILD HEALTH PLUS
126451745OTHERNYAETNA/US HEALTHCARE

General Provider Information

NPI Number : 1477559748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL T PUGLIESE M.D.
Provider Business Mailing Address
First Line : 655 DEER PARK AVE
Second Line :
City : BABYLON
State : NY
Zip : 11702-1314
Country : US
Telephone Number : 631-321-2100
Fax Number : 631-321-2246
Provider Business Practice Location Address
First Line : 655 DEER PARK AVE
Second Line :
City : BABYLON
State : NY
Zip : 11702-1314
Country : US
Telephone Number : 631-321-2100
Fax Number : 631-321-2246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 01/30/2008

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Directions to “ MICHAEL T PUGLIESE M.D.” Practice Location

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