Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 160275 | NY |
NPI | 1043319437 |
---|---|
Provider Name | Dr. Melchiore Louis Buscemi |
First Address | Canton, NY 13617-1450 |
Second Address | Canton, NY 13617-1450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 29/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E73182 | (02) | NY |