Individual
DR. ALFREDO M CABUSORA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL, WEST ISLIP, NY 11795-4927
(631) 376-4088
(631) 376-3289
Mailing address
3 BOYLE RD, SELDEN, NY 11784-4030
(631) 736-4064
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1284841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00501551
—
NY
Enumeration date
11/30/2005
Last updated
07/08/2007
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