Individual
DR. NEIL EDGAR BUSUTTIL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3128 55TH ST, WOODSIDE, NY 11377-1518
(917) 288-7424
Mailing address
3128 55TH ST, WOODSIDE, NY 11377-1518
(917) 288-7424
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020054
NY
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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