NPI 1073710695

Mary E Bustos, CPOA

Practitioner Optometric Assistant Technician Bronx, NY

Practice location

Address: 3416 Jerome Ave, Bronx, NY 10467-1002
Phone: (718) 325-3160
Mailing address: 464 E 185th St # 1, Bronx, NY 10458-7704

Registered specialties

Optometric Assistant Technician Primary

Eye and Vision Services Providers Taxonomy 156FX1201X

Other Technician/Technologist providers in New York →

Registry record

NPI: 1073710695
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.