Provider Demographics
NPI:1801803721
Name:BUSCAGLIA, DANIEL ANTHONY (DO)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ANTHONY
Last Name:BUSCAGLIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 MAIN ST
Mailing Address - Street 2:STE 100
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-839-5851
Mailing Address - Fax:716-839-5841
Practice Address - Street 1:4600 MAIN ST
Practice Address - Street 2:STE 100
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-839-5851
Practice Address - Fax:716-839-5841
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1937371207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0030732801OtherUNIVERA
F98369Medicare UPIN
NY0030732801OtherUNIVERA