Individual
CARLY BUSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3276 HEMPSTEAD TPKE, LEVITTOWN, NY 11756-1345
(516) 796-2273
Mailing address
93 GARDINERS AVE, LEVITTOWN, NY 11756-3704
(516) 455-7729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
289752
NY
Other
Enumeration date
03/31/2014
Last updated
04/12/2018
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