| Organization Name: | PATSY BUCCINO D O INC |
| NPI Number: | 1902005291 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANNA L BAKER (OFFICE MANAGER) |
| Mailing Address: | 624 Youngstown Poland Rd Struthers |
| State: | OH US |
| Postal Code: | 444711106 |
| Phone Number: | 3307551495 |
| Fax Number: | 3307551497 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 10/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | 004593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |