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Individual

MICHAEL T PUGLIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
655 DEER PARK AVE, BABYLON, NY 11702-1314
(631) 321-2100
(631) 321-2246
Mailing address
655 DEER PARK AVE, BABYLON, NY 11702-1314
(631) 321-2100
(631) 321-2246

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
141399
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01511848
NY
01
0340942
CIGNA
NY
01
040426011085
FIDELIS
NY
01
2399869
GHI
NY
01
33-00335
UHC CHILD HEALTH PLUS
NY
01
359817
UNITEDHEALTHCARE
NY
01
4248303
AETNA MANAGED CARE
NY
01
49083
VYTRA HEALTHCARE
NY
01
6451745
AETNA/US HEALTHCARE
NY
01
7P4802
BLUE CROSS BLUE SHIELD
NY
01
AA48406
MDNY
NY
01
P2552217
OXFORD HEALTH PLAN
NY
Enumeration date
06/22/2005
Last updated
01/30/2008
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