Individual
JEFF BUSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1311 AVENUE Z, BROOKLYN, NY 11235-3917
(718) 891-0832
Mailing address
48 IVANHOE DR, MANALAPAN, NJ 07726-1725
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
05027-1
NY
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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