Individual
LUCILLE BUSCEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6223
(516) 540-4244
Mailing address
36 SHAW AVE, VALLEY STREAM, NY 11580-3615
(516) 424-9341
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4813
NY
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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