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Contact Information

JUAN CARLOS BUCOBO, MD
STONY BROOK UNIVERSITY MEDICAL CENTER
HEALTH SCIENCE CENTER T17-060
STONY BROOK, NY11794-8173
 Phone: 631-444-2119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JUAN CARLOS BUCOBO · (Male)

NPI # 1982892592
Status Active
Credentials MD
Entity Individual
Enumeration date 10/09/2007
Last updated 07/21/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 257653
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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