Whalio Doctors

NPI 1093811291

Stephanie Lynn Busch, RPAC

Practitioner Physician Assistant Elmira, NY

Practice location

Address
859 Broadway St, Elmira, NY 14904-2501
Phone
(607) 734-8179
Fax
(607) 733-3893
Mailing address
571 Saint Josephs Blvd Fl 2, Elmira, NY 14901-3230

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 010255 (NY)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 010255 (NY)

Registry record

NPI
1093811291
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Sep 2006
Record last updated
9 Jun 2016

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.