| Michael N. Bush, Md Pc | |
|
115 E 57th St Suite 630 New York NY 10022-2049 | |
| (212) 583-2884 | |
| (212) 644-2522 |
| Full Name | Michael N. Bush, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 115 E 57th St, New York, New York |
| Authorized Official Name and Position | Michael Neal Bush (PRESIDENT) |
| Authorized Official Contact | 2125832884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael N. Bush, Md Pc 115 E 57th St Suite 630 New York NY 10022-2049 Ph: (212) 583-2884 | Michael N. Bush, Md Pc 115 E 57th St Suite 630 New York NY 10022-2049 Ph: (212) 583-2884 |
| NPI Number | 1255459467 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2961478573 |
|---|---|
| Medicare Enrollment ID | O20040904000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255459467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 139099 (New York) | Primary |
| Provider Name | Michael N Bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417010638 PECOS PAC ID: 5890681498 Enrollment ID: I20040909001395 |
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