Individual
MRS. BARBARA A PUSHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 OCEAN AVE, NORTHPORT, NY 11768-1811
(631) 261-3656
Mailing address
44 OCEAN AVE, NORTHPORT, NY 11768-1811
(631) 261-3656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
005226-1
NY
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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