Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 141399 | NY |
NPI | 1477559748 |
---|---|
Provider Name | Michael T Pugliese |
First Address | Babylon, NY 11702-1314 |
Second Address | Babylon, NY 11702-1314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 30/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01511848 | (05) | NY |
0340942 | CIGNA (01) | NY |
040426011085 | FIDELIS (01) | NY |
2399869 | GHI (01) | NY |
33-00335 | UHC CHILD HEALTH PLUS (01) | NY |
359817 | UNITEDHEALTHCARE (01) | NY |
4248303 | AETNA MANAGED CARE (01) | NY |
49083 | VYTRA HEALTHCARE (01) | NY |
6451745 | AETNA/US HEALTHCARE (01) | NY |
7P4802 | BLUE CROSS BLUE SHIELD (01) | NY |
A34255 | (02) | NY |
AA48406 | MDNY (01) | NY |
P2552217 | OXFORD HEALTH PLAN (01) | NY |