Provider Demographics
NPI:1265723555
Name:BUSCAINO, ANTHONY FRANK (RPH)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:FRANK
Last Name:BUSCAINO
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:140 KEYLAND CT UNIT 27
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716-2655
Mailing Address - Country:US
Mailing Address - Phone:631-750-9088
Mailing Address - Fax:631-750-9087
Practice Address - Street 1:140 KEYLAND CT UNIT 27
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-2655
Practice Address - Country:US
Practice Address - Phone:631-750-9088
Practice Address - Fax:631-750-9087
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY357491835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support