Busa, Marietta

Busa, Marietta is an sole proprietor health care provider with primary practice located at 727 Broadway , Massapequa NY 11758. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Busa, Marietta can be contacted via phone (516) 799-0210.

Contact Information

Primary practice address
727 Broadway Massapequa NY 11758
Phone: (516) 799-0210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 009628 New York

Profile Details

NPI number 1609945617
LBN Legal business name Busa, Marietta
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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