Individual
MR. DARRELL CRAIG BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
24 CHERRY ST # PO, JOHNSON CITY, NY 13790-2615
(607) 723-8313
(607) 723-6173
Mailing address
P.O. BOX 997, 24 CHERRY ST., JOHNSON CITY, NY 13790
(607) 723-8313
(607) 723-6173
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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