MR. DIEGO BUSTAMANTE JR.

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1053147272

Practice Address

29 PARK AVE
Shirley, NY 11967

Phone: (631) 569-0987

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1053147272 is the National Provider Identifier for MR. DIEGO BUSTAMANTE JR., a Student in an Organized Health Care Education/Training Program provider located in Shirley, NY. This NPI was enumerated on September 12, 2024.
MR. DIEGO BUSTAMANTE JR. practices at 29 PARK AVE, Shirley, NY 11967.

Quick Facts

NPI
1053147272
Type
Individual
Enumerated
Sep 12, 2024
Last Updated
Sep 12, 2024

Nearby Providers