Individual
DR. EMMANUEL BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2599 BROADWAY STE A, NEW YORK, NY 10025-5686
(212) 663-3668
Mailing address
4045 ELBERTSON ST APT 651, ELMHURST, NY 11373-2136
(718) 916-0043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006572
NY
213E00000X
Podiatrist
N006572
NY
Other
Enumeration date
07/02/2013
Last updated
01/27/2023
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