Individual
MS. JEANNETTA MARY BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1751 PARK AVE, 3RD FLOOR, NEW YORK, NY 10035-2831
(212) 633-2500
(212) 633-2932
Mailing address
1751 PARK AVE, 3RD FLOOR, NEW YORK, NY 10035-2831
(212) 633-2500
(212) 633-2932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
73074914
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
22 236324
NY
Other
Enumeration date
11/28/2012
Last updated
01/10/2013
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