Individual
CHERYL R BUSCAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
80 ORVILLE DR STE 100, BOHEMIA, NY 11716-2505
(516) 308-6610
Mailing address
7 FAWN LN, EAST ISLIP, NY 11730-3814
(516) 308-6610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P96787
NY
101YM0800X
Mental Health Counselor
007957
NY
Other
Enumeration date
04/11/2016
Last updated
11/05/2020
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