Individual
DR. MARYANN BUETTI-SGOUROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
880 S LAKE BLVD, MAHOPAC, NY 10541-4771
(845) 628-8277
Mailing address
92 W LAKE BLVD, MAHOPAC, NY 10541-3133
(845) 628-8277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202057
NY
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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