Individual
ANDREA BUSHELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
448 E 119TH ST, NEW YORK, NY 10035-3626
(212) 369-5100
Mailing address
448 E 119TH ST, NEW YORK, NY 10035-3626
(212) 369-5100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
197750
NY
Other
Enumeration date
02/21/2009
Last updated
02/21/2009
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