Individual
NATALEE MARIE BUSSOLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
4215 3RD AVE, 2ND FLOOR, BRONX, NY 10457-4501
(718) 294-5891
(718) 294-2468
Mailing address
4215 3RD AVE, 2ND FLOOR, BRONX, NY 10457-4501
(718) 294-5891
(718) 294-2468
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
421006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
11/12/2010
Last updated
08/30/2011
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