Ayala-Bustamante, Everick
Ayala-Bustamante, Everick is an individual health care provider with primary practice located at 1065 Southern Blvd , Bronx NY 10459-2417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ayala-Bustamante, Everick can be contacted via phone (718) 589-2440.Contact Information
Primary practice address
1065 Southern Blvd
Bronx NY 10459-2417
Phone: (718) 589-2440
Fax: (718) 991-4516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 267626 | New York |
Profile Details
| NPI number | 1114265766 |
|---|---|
| LBN Legal business name | Ayala-Bustamante, Everick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2013 |
| Last updated | Jul 10th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114265766 | NPPES |
| New York | Other | 267626 | LICENSE |
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