Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 245549 | NY |
N | 208000000X | Pediatrician | 245549 | NY |
NPI | 1083886147 |
---|---|
Provider Name | Dr. Lisa Katz Buglino |
First Address | Lake Success, NY 11042 |
Second Address | Lake Success, NY 11042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 06/02/2012 |