SearchNew York163W00000X

Isaiah Bush

NPI 1174287585 · on the registry since 2021 · sole proprietor

Practice

Address
751 Briggs Hwy
Ellenville, NY 12428
Phone
(845) 647-8006
Clinicians at this address
10

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York