Individual
MR. CHRISTOPHER BUSAPAVANIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
152 BROADWAY, BROOKLYN, NY 11211-8767
(212) 385-3700
(212) 385-3703
Mailing address
152 BROADWAY, BROOKLYN, NY 11211-8767
(212) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012317
NY
Other
Enumeration date
02/03/2008
Last updated
05/24/2016
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