Individual
HANNAH ROSE BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
571 SAINT JOSEPHS BLVD STE 304, ELMIRA, NY 14901-3234
(607) 737-7012
(607) 735-5594
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
281714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05323097
—
NY
05
—
103598681
—
PA
Enumeration date
06/17/2014
Last updated
11/20/2020
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