Provider Demographics
NPI:1164499448
Name:BUZZEO, LOUIS ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ANTHONY
Last Name:BUZZEO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N BROADWAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1019
Mailing Address - Country:US
Mailing Address - Phone:914-332-9100
Mailing Address - Fax:914-332-1037
Practice Address - Street 1:777 N BROADWAY
Practice Address - Street 2:SUITE 203
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1019
Practice Address - Country:US
Practice Address - Phone:914-332-9100
Practice Address - Fax:914-332-1037
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-04
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116769207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00247278Medicaid
NYWP693OtherOXFORD
NYB13012Medicare UPIN