Provider Demographics
NPI:1770562837
Name:BUSCAINO, GIACOMO (MD)
Entity type:Individual
Prefix:DR
First Name:GIACOMO
Middle Name:
Last Name:BUSCAINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9001 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5707
Mailing Address - Country:US
Mailing Address - Phone:718-748-2900
Mailing Address - Fax:718-748-2538
Practice Address - Street 1:9001 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5707
Practice Address - Country:US
Practice Address - Phone:718-748-2900
Practice Address - Fax:718-748-2538
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142421207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00797008Medicaid
NY01D951Medicare ID - Type Unspecified
NY00797008Medicaid