Individual
HAROLD BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 FARBER DR STE D, BELLPORT, NY 11713-1500
(631) 286-0700
Mailing address
11 FARBER DR STE D, BELLPORT, NY 11713-1500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/18/2008
Last updated
11/17/2008
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