Provider Demographics
NPI:1265579536
Name:BUSCAGLIA, ANTHONY J (MD, FCCP)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:BUSCAGLIA
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Gender:M
Credentials:MD, FCCP
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Mailing Address - Street 1:515 ABBOTT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1700
Mailing Address - Country:US
Mailing Address - Phone:716-824-0266
Mailing Address - Fax:716-824-0095
Practice Address - Street 1:515 ABBOTT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1700
Practice Address - Country:US
Practice Address - Phone:716-824-0266
Practice Address - Fax:716-824-0095
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2009-04-09
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Provider Licenses
StateLicense IDTaxonomies
NY112703207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00604595Medicaid
NY00604595Medicaid
NYCC5976Medicare PIN