Individual
MS. BARBARA BUMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, MSCN
Contact information
Practice address
280 MONTAUK HWY, BAY SHORE, NY 11706-8403
(631) 758-4444
(631) 758-1984
Mailing address
712 MAIN ST, ISLIP, NY 11751-3620
(631) 758-4444
(631) 758-1984
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
F302723
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
302723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02458139
—
NY
Enumeration date
02/21/2006
Last updated
09/19/2023
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