Individual
DR. JOSE PUGLIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 GLEN ST, SUITE 102, GLEN COVE, NY 11542-2855
(516) 609-9294
Mailing address
7 SUGAR MAPLE CT, DIX HILLS, NY 11746-6249
(631) 254-6976
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
197269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491147
—
NY
Enumeration date
06/10/2006
Last updated
11/12/2014
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