Alyssa Bush, PA
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1760197263
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1760197263
- Entity type
- Individual (NPI-1)
- Name
- Alyssa Bush
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2023
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
100 E 77th StNew York, NY 10075-1850
Phone 212-434-2000
Mailing address
80 Alger StAdams, MA 01220-9714
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