Organization
EMMANUEL BUSTOS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL BUSTOS DPM (PRESIDENT)
(718) 916-0043
Entity
Organization
Contact information
Practice address
4045 ELBERTSON ST, ELMHURST, NY 11373-2154
(718) 916-0043
Mailing address
2599 BROADWAY STE A, NEW YORK, NY 10025-5686
(718) 916-0043
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006572
NY
Other
Enumeration date
05/05/2015
Last updated
10/28/2022
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