Individual
MR. NAGI J BUSTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6740 4TH AVE FL 2, BROOKLYN, NY 11220-5350
(929) 455-2740
Mailing address
217 OVINGTON AVE, BROOKLYN, NY 11209-1204
(718) 238-0098
(718) 836-6849
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
122979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00231012
—
NY
Enumeration date
08/09/2005
Last updated
12/29/2021
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