Individual
KATLIN JOY BUSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
(585) 275-3652
Mailing address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
403729
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403729
NY
Other
Enumeration date
09/17/2021
Last updated
07/17/2023
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