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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DIEGO FERNANDO BUSTAMANTE JR.

Active Sole Proprietor

MR. DIEGO FERNANDO BUSTAMANTE JR. is a Student (Health Education/Training) healthcare provider located in SHIRLEY, New York. NPI 1053147272 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · SHIRLEY, NY

Registration Details

NPI Number
1053147272
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2024 (1.9020931282789 yrs)
Last Updated
Sep 12, 2024
Sole Proprietor
Yes

Practice Information

Address
29 PARK AVE
SHIRLEY, NY, 119672338
Browse NY providers · Browse ZIP 11967
Phone
6315690987
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in SHIRLEY, NY

Name Credential NPI
MRS. TRACY L EGGER LCSW 1568744324
THOMAS B MAHER 1588039598
STEPHANIE LIUZZI 1396496543
MR. RYAN SIMMONS LMSW 1770225757
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.