Individual
ALICIA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 MADISON AVE FL 8, NEW YORK, NY 10010-1676
(212) 684-0099
Mailing address
60 MADISON AVE FL 8, NEW YORK, NY 10010-1676
(212) 684-0099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015339
NY
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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