Individual provider · Type 1 NPI

Christian Bustamante

Specialist · Melville, NY

NPI number 1154841443 Active

Practice location

538 Broadhollow Rd Ste 202
Melville, NY 11747-3668

Fax (631) 385-7795

Mailing address

538 Broadhollow Road, Suite 202
Melville, NY 11747

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X862344141 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154841443

Christian Bustamante's National Provider Identifier is 1154841443, issued on Jun 27, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on Jul 21, 2022.