Individual
DR. ERNA BUSCH-DEVEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
152 E MAIN ST, SUITE A, HUNTINGTON, NY 11743-2958
(631) 423-1414
(631) 423-4902
Mailing address
270 PULASKI RD, SUITE A, GREENLAWN, NY 11740-1605
(631) 423-1414
(631) 423-4902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
180237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2827H1
BCBS PROV ID
NY
Enumeration date
11/01/2006
Last updated
08/14/2012
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