# JP BUFFALINO MEDICAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710265640
- **Authorized official:** DR. JOSEPH P BUFFALINO D.O. (OWNER/PRESIDENT)
- **Authorized official phone:** (516) 504-4040

## Contact information

- **Practice address:** 444 LAKEVILLE RD, SUITE 203, NEW HYDE PARK, NY 11042-1165
- **Practice address phone:** (516) 504-4040
- **Mailing address:** 444 LAKEVILLE RD, SUITE 203, NEW HYDE PARK, NY 11042-1165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 120916-1 | NY | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 07/26/2011