Mildred Jean Buccafusco, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001-5161 Issued in NY

Practice address

420 95TH St
Brooklyn, NY 11209-7404

Phone

(718) 680-9751

NPI assigned

Apr 8, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1831489111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 NOSTRAND AVE",
            "address_2": "APT. 2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352250",
            "telephone_number": "718-496-8051",
            "fax_number": "718-368-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 95TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097404",
            "telephone_number": "718-680-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCAFUSCO",
        "first_name": "MILDRED",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "001-5161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milana Bubis, PA
• Yefim Bubis, RPH
• Anastasia Bubyr
• Catha-Ann Bucaro
• Myriam Bucatinsky, LCSW
• Christine Buccinna, N.P.
• Phalak Pankaj Buch
• Sandip Buch, M.D.
• Alyson Buchalter, D.M.D.
• Buchanan Hayes LLC

• Physical Therapy Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.