Individual
ROBERT M BACIGALUPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 NEW HYDE PARK RD, GARDEN CITY, NY 11530-3909
(516) 488-1313
Mailing address
860 10TH AVE, 2FN, NEW YORK, NY 10019-2906
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
274859
NY
207ND0101X
MOHS-Micrographic Surgery Physician
274859
NY
207NS0135X
Procedural Dermatology Physician
Primary
274859
NY
Other
Enumeration date
04/03/2010
Last updated
11/17/2023
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