Individual
CLARE ANN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 W 86TH ST, NEW YORK, NY 10024-3671
(212) 799-2737
Mailing address
21 W 86TH ST, NEW YORK, NY 10024-3671
(212) 799-2737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
279945
NY
Other
Enumeration date
04/18/2012
Last updated
06/09/2015
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