Individual
PETER W BUSHUNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4200
(585) 922-4622
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4200
(585) 922-4622
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
170930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01313331
—
NY
Enumeration date
06/03/2006
Last updated
08/18/2022
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