Individual
MR. JAMES MICHAEL BAUMBUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10470 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 275-6010
Mailing address
10470 QUEENS BLVD, FOREST HILLS, NY 11375
(718) 275-6010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001371
NY
Other
Enumeration date
10/13/2015
Last updated
01/10/2017
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