Individual
DR. SHEILA CAROL BUSHKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38 TOWPATH LN, WATERFORD, NY 12188-4006
(518) 233-0069
Mailing address
38 TOWPATH LN, WATERFORD, NY 12188-4006
(518) 233-0069
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
153051-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01124643
—
NY
Enumeration date
05/24/2007
Last updated
07/08/2007
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