Basic Information
| Provider Information | |||||||||
| NPI: | 1083886147 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BUGLINO | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | KATZ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2800 MARCUS AVENUE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | LAKE SUCCESS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166082898 | ||||||||
| FaxNumber: | 5166082897 | ||||||||
| Practice Location | |||||||||
| Address1: | 2800 MARCUS AVE | ||||||||
| Address2: | SUITE 202 | ||||||||
| City: | LAKE SUCCESS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5166086898 | ||||||||
| FaxNumber: | 5166082897 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2008 | ||||||||
| LastUpdateDate: | 02/06/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 245549 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | 207K00000X | 245549 | NY | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
No ID Information.