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

MR. GREGORY P. BUSTAMANTE, OTR/L

Active Sole Proprietor

Occupational Therapist · NESCONSET, NY

Registration Details

NPI Number
1194260562
Provider Type
Individual
Gender
Male
NPI Issued
Dec 21, 2016 (9.3689678072177 yrs)
Last Updated
Dec 21, 2016
License
021139 (NY)
Sole Proprietor
Yes

Practice Information

Address
100 SOUTHERN BLVD
NESCONSET, NY, 117671749
Browse NY providers · Browse ZIP 11767
Phone
6313618800
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in NESCONSET, NY

Name Credential NPI
MR. JUSTIN TATE MS, OTR/L 1649429523
MS. BARRIE LYNN MELNEKOFF OTR/L 1700193414
KERRY M BENSON OTR/L 1609183060
MS. CIARA ALIX WATERS MS, OTR/L 1568840122
KIMBERLY DECANIO 1538530431
MISS STEPHANIE COLES OTR/L 1477928026
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.